Guide for Writing IEPs - The Special Education Team - Wisconsin.gov

Updated December 2010- DRAFT 

A Guide for Writing IEPs

Comments 

DRAFT December 2010 

We are interested in improving this guide and welcome your suggestions. You can 

email your comments to the Special Education Team at dpisped@dpi.wi.gov. 

This Guide is available at http://dpi.wi.gov/sped/pdf/iepguide.pdf

Contents 

Preface............................................................................................................................................ iv 

Acknowledgements ........................................................................................................................ iv 

Introduction ......................................................................................................................................v 

Outline: The IEP Development Process .........................................................................................1 

Planning and Conducting the IEP Team Meeting ...................................................................... 1 

IEP Team Meeting Discussion Points ........................................................................................ 4 

IEP Discussion Components ............................................................................................................8 

Present Level of Academic Achievement and Functional Performance (PLAAFP) ................. 8 

Special Factors ......................................................................................................................... 11 

Annual Goal Statements including Short Term Objectives or Benchmarks and Progress 

Measurement and Reporting .................................................................................................... 13 

Participation in State and District Assessments ....................................................................... 16 

Statement of Transition Service Needs (Beginning at Age 14) ............................................... 18 

IEP Program Summary: Statement of Services, Participation in Regular Education Classes 

(environment), and Extra Curricular and Non-Academic Activities ....................................... 20 

Appendix A: Case Examples ........................................................................................................24 

Dan’s IEP ................................................................................................................................. 25 

Ed’s IEP ................................................................................................................................... 32 

Erin’s IEP ................................................................................................................................. 38 

Jamal’s IEP .............................................................................................................................. 50 

Appendix B: Tools for Developing and Tracking an IEP..............................................................57 

IEP Review Checklist .............................................................................................................. 58 

Sample Report of Student Progress Toward Annual Goals ..................................................... 62 

Access to General Curriculum (Standards & IEPs) ................................................................. 63 

Appendix C: Resources..................................................................................................................64 

Resources ................................................................................................................................. 65 

Draft December 2010 iii

Preface 

This guide is intended to provide technical assistance for educators, parents, and others who 

develop Individualized Education Programs (IEPs) for students with disabilities. The IEP ensures 

that a student with a disability receives a Free Appropriate Public Education (FAPE) in the least 

restrictive environment (LRE). This guide will assist the IEP team in developing a meaningful 

plan that can be implemented to meet each student’s unique needs. 

The following basic beliefs guided the development of this document. The IEP is: 

• an important legal document written for students with disabilities; 

• developed together through discussion at an IEP team meeting; 

• more than a collection of papers; 

• a process that is just as important as the product; 

• a communication tool for parents, school and others; 

• an opportunity for parents and school personnel to work together as EQUALS; and 

• a vehicle for joint planning, problem solving and decision-making. 

The content of this guide is based on the Individuals with Disabilities Education Act (IDEA 

2004) and Chapter 115 of the Wisconsin Statutes with their implementing regulations. Both state 

and federal law identify the required Components of the IEP. This guide provides descriptions 

and examples of required IEP elements from the statement of present level of academic 

achievement and functional performance (PLAAFP) through the summary of educational 

services. It does not address determination of eligibility for services, placement, notice, or other 

requirements related to the IEP process. 

Wisconsin local educational agencies (LEAs) responsible for insuring students with disabilities 

receive FAPE have adopted WDPI sample forms, forms adapted by CESAs, or have developed 

their own forms for documenting the IEP process. All forms documenting IEP team decisions 

must contain the components required by state and federal laws and described in this guide. 

Acknowledgements 

Many individuals have contributed to this guide by sharing their expertise. We would like to 

acknowledge the following people for their role in the development of this guide: 

• Professional colleagues, teachers, parents and administrators across the state who provided 

feedback 

• Erin Arango-Escalante, Consultant, Wisconsin Department of Public Instruction 

• Sandy Berndt, Consultant, Wisconsin Department of Public Instruction 

• Brian Johnson, Consultant, Wisconsin Department of Public Instruction 

• Paul Sherman, Consultant, Wisconsin Department of Public Instruction 

• Christina Spector, Consultant, Wisconsin Department of Public Instruction 

• Paula Volpiansky, Consultant, Wisconsin Department of Public Instruction 

We would like to offer special thanks to the following individuals for their previous work on IEP 

technical assistance materials and input into this guide: 

• Kathy Laffin, Independent Consultant 

• Arlene Wright, Independent Consultant 

Draft December 2010 iv

Introduction 

This technical assistance guide is intended to provide readers with an overview of how to 

develop a student’s IEP within the framework of the IEP team meeting. This guide does not 

address evaluation or placement decisions. The guide begins with an outline of the IEP 

development process (as completed during an IEP team meeting) and end product (components 

addressed in the IEP document). Following the outline, there is a summary of each component 

covered during a typical IEP team meeting. Each component section is organized around the 

following content: 

• Key questions 

• Legal citations 

• DPI resources 

• Definition 

• Purpose 

• Key characteristics 

The appendices of the guide include IEP content examples for students of different ages 

representing a range of disability related needs. The examples illustrate the application of the IEP 

component summaries and are annotated to provide further guidance for the user. An IEP 

checklist, references and related resources are also provided. 

Draft December 2010 v

Outline: The IEP Development Process 

The development of a student’s IEP involves both “process” (IEP team meeting discussion) and 

“product” (written IEP documentation). This section includes recommendations for districts to 

consider regarding managing the IEP process including: 

• planning the meeting; 

• conducting the meeting; 

• concluding the meeting; 

• follow-up after the meeting. 

Planning and Conducting the IEP Team Meeting 

Planning the Meeting: 1. Identify roles 

• Facilitator - Person who keeps the meeting moving forward. 

The facilitator also ensures everyone participates and 

discussion is recorded. 

• Recorder - Person who takes notes for later use in completing 

IEP forms, or who enters information on the IEP forms during 

the meeting. 

• Time Keeper - Person who reminds participants of the 

meeting time frame. 

2. Outline meeting agenda 

• Introduction of participants. 

• Discussion of meeting ground rules and guidelines. 

• Discussion of considerations 

o Recent evaluation data relevant to the student’s disability 

related needs (NOTE: IEP team evaluation and 

reevaluation is not addressed in this guide). 

o Student’s strengths and parental concerns. 

o Review of prior IEP progress (unless initial IEP). 

o Student’s academic, developmental, and functional needs. 

• Discussion of IEP components to be addressed in IEP 

document. 

• Anticipated length of the meeting (generally 1-1 ½ hours; varies 

based on student needs and complexity of needed services). 

3. Set up meeting room 

• Set up a table appropriate for the size of the group with no 

assigned seating (round table is preferable) 

• Arrange for writing surface for public notes 

o It is good practice to publicly record important workprocess 

notes during the meeting using a whiteboard, LCD 

and computer, large post-it-notes or flipchart. 

• Make arrangements for reasonable accommodations for any 

participant who has a disability 

Draft September 2010 1

Conducting the Meeting: 1. Set the stage for collaboration 

• Introduce participants. 

• Review the purpose of meeting. 

• Provide an overview of the agenda, remind participants of 

ground rules and guidelines, and state the anticipated length of 

meeting. 

• Assign someone to record issues for discussion at a later date. 

Review these items prior to ending the meeting. 

• Inform parents of their right to request more time and a copy 

of the most recent evaluation report. 

• Use descriptive language; avoid the use of jargon or terms all 

IEP team participants may not be familiar with. Offer and be 

willing to stop and explain terminology. 

2. Discuss each IEP component: 

Team discusses key questions listed in IEP Team Meeting 

Discussion Points (see next section of guide) for each IEP 

component. 

• What is the student doing now in relationship to the general 

curriculum and what are the student’s other disability related 

needs? (PLAAPF) 

• Are there special factors that need to be considered? 

• What should the student be doing in the next 12 months? 

(Goal) 

• How will progress toward goals be measured and reported? 

• Will the student participate in regular state and district 

assessments or alternate assessment? 

• What are the student’s transition service needs (no later than 

age 14)? 

• What special education and other services are needed? (IEP 

Program Summary) 

• Where will the student receive services? (IEP Program 

Summary-extent of participation in general education 

environment; part of LRE consideration) 

3. Enhance team communication and collaboration: 

• Actively involve parent(s) and outside agency representatives 

(as appropriate) in the IEP meeting. 

• Prompt parents to share information if they do not do so on 

their own. Acknowledge their input, insight and experience. 

• Provide students with the opportunity to play an meaningful 

and active role in the development of their IEP 

• Acknowledge family’s efforts and respond to family’s 

viewpoints, suggestions and concerns. 

• Be aware of participants; ask questions or provide clarification 

to enhance mutual understanding and meaningful participation 


Concluding the Meeting: 

Follow-up after the 

Meeting: 

• Share student progress data when discussing IEP goals and 

needs. 

• Participants (parents and educators) confirm areas of 

agreement and discuss areas not in agreement with goal of 

reaching consensus (voting is not appropriate). 

• If consensus can not be reached, the district and parent may 

wish to discuss whether mediation or facilitated IEP would 

help them resolve any remaining issues. 

1. Briefly summarize the IEP team discussion. 

2. Focus on a shared vision between parents and educators for 

working on goals at home and at school. 

3. Inform parents when the completed IEP document will be sent to 

them if the IEP has not been completed at the meeting (Note: the 

new or revised IEP cannot be implemented until parents receive 

placement notice and a copy of the IEP). 

1. Complete written IEP documentation and send to parents if not 

completed by the end of the meeting. Contact parent to verify 

IEP was received and if parents have any questions that need 

clarification? Appendix A of this guide provides examples of IEP 

documentation content. 

2. All of the student’s teachers, special education and general 

education, related service personnel and others who have the 

responsibility for implementing the student’s IEP must be 

informed of their responsibilities. One way to do this is to give 

each person a copy of the student’s IEP. 

3. Reconvene the IEP team at least annually to review the IEP. 

Reconvene the IEP team to review and revise the IEP more 

frequently if the student is not making expected progress to 

meeting goals, following a reevaluation, if the student’s needs 

change, if new information is provided by the parents, or to 

address other matters as determined by the district. 

4. For students with transition services provided by outside 

agencies, reconvene the IEP team if services are not being 

provided and identify alternative strategies to meet transition 

objectives. 

Refer to Appendix B – IEP Review Checklist. 


IEP Team Meeting Discussion Points 

The student’s annual IEP is developed by the IEP team participants during an IEP team meeting 

discussion (process). The resulting IEP document (product) reflects decisions made by the IEP 

team about the student’s disability related needs and how they will be addressed. The IEP 

process is ongoing and includes annual IEP development, discussion of student progress towards 

goal, and IEP review and revision at least once a year. 

Process Questions Product – IEP Components 

Present Level of Academic Achievement and Functional Performance (PLAAFP) 

(see pgs 8-10) 

Key Question: 

1. Can you describe what the student is doing now? 

• Strengths 

What is the student doing now? • Needs related to the student’s disability 

• Parent concerns 

2. How does the student’s disability affect the student’s 

involvement and progress in the general education 

curriculum (the same curriculum as for nondisabled 

students) OR for preschoolers, how does the student’s 

disability affect involvement in age-appropriate activities? 

3. To what extent, if any, the student would not be involved in 

the general curriculum or, for preschoolers, age-appropriate 

activities? 

4. Does the PLAAFP establish a baseline of information about 

the student that can be used as the starting point from which 

to determine progress toward annual goals? 

• Describes both academic and non-academic areas such 

as classroom, community, bus, lunchroom 

• Includes current formal and informal educational 

performance data 

• Describes performance areas meaningful in the student’s 

life and daily environment 

• Uses understandable language 

• Describes learning accommodations, learning strategies 

Special Factors (See pgs. 11-12) 

Key Question: 

Are there special factors that 

need to be considered to allow 

the student to benefit from his or 

her education? 

1. Has the IEP team considered all the special factors without 

regard to disability category? 

• Behavior 

• Limited English proficiency 

• Communication 

• Assistive technology 


2. If the student is visually impaired, has the IEP team 

considered the student’s need for Braille instruction? 

3. If the student is hearing impaired, has the IEP team 

considered the following?: 

• the student’s language and communication needs 

• opportunities for direct communication with peers and 

school staff 

• the student’s academic level and full range of needs 

Annual Goals (See pgs. 13-15) 

Key Question: 

What should the student be 

doing? (Goal) 

Key Question: 

What will the student need to do 

to achieve each goal? 

(Objectives or benchmarks) 

Key Question: 

How will progress toward goals 

be measured and reported? 

1. What can the student reasonably be expected to accomplish 

in 12 months? 

2. What areas of the general curriculum are affected by the 

disability? 

3. What other academic or functional disability related needs 

should be addressed (including behavior, motor, socialemotional, 

communication, self-help)? 

4. Is each goal measurable? ( The student… will do what… to 

what level/degree.) 

5. Are the goals related to information in the PLAAFP? 

Short Term Objectives or Benchmarks (See pg.14 ): Required for students 

with disabilities who participate in the Wisconsin Alternate Assessment for 

Students with Disabilities (WAA-SwD); optional for other students. 

1. What sequential intermediate steps or temporal milestones 

are needed to reach goal (2 or more for each goal)? 

2. What indicators of progress toward meeting the goal will be 

measured intermittently during the year? 

Measurement and Reporting (See pg. 14-15) 

1. Do the procedures measure and document progress toward 

the annual goal? Caution: The use of traditional 

standardized tests to measure progress does not allow for 

periodic progress monitoring. Measurement of progress 

toward goals should be ongoing and include intermittent 

data collection that provides updated evidence at the time 

progress is reported to parents. 

2. Is progress on annual goals reported to parents 

periodically? See Appendix B – Sample Report of Student 

Progress Toward Annual Goals 


Participation in State and District Assessments (See pgs. 16-17) 

Key Question: 

Will the student participate in 

state and district assessments? 

1. Has the IEP team considered if the student will be eligible 

to participate in the Wisconsin Knowledge and Concepts 

Examination (WKCE) during the term of the IEP (required 

for 3rd, 4th, 5th, 6th, 7th, 8th and 10th grades)? 

2. Has the IEP team considered the student’s participation in 

district-wide standardized assessments? 

3. For students who need assessment accommodations, have 

the accommodations been listed in the IEP? 

4. For students participating in the Wisconsin Alternate Assess 

ment-Students with Disabilities (WAA-SwD), has the IEP 

team completed the WAA-SwD Participation Checklist ? 

Transition (infused throughout the student’s IEP) (See pgs. 18-19) 

Key Questions: 

Beginning at age 14: What are 

the student’s post-school goals? 

What services, supports or 

programs does the student need 

to achieve his/her post-school 

goals? 

Is the student linked to needed 

post-school services, supports or 

programs before leaving school? 

1. Has an age-appropriate transition assessment of the student 

been conducted and documented? 

2. Has a statement of measurable post-school goals been 

developed related to training, education, employment, and, 

where appropriate, independent living? 

3. Has a course of study aligned with the student’s desired 

post-school goals been developed? 

4. Have annual goals been developed that will reasonably 

enable the student to meet his/her postsecondary goals? 

5. Does the IEP specify any needed transition services in: 

• Instruction 

• Related services 

• Community experiences 

• Employment 

• Post-school living objectives 

• Functional vocational evaluation 

• Daily living skills 

6. Have the student, his/her parents, and appropriate agencies 

been invited in writing to the IEP meeting? If the student is 

unable to attend, have steps been taken to ensure his/her 

needs, preferences, and interests were considered? 

7. After the initial development of the student’s transition 

plan, has it been reviewed and revised on an annual basis? 

8. If the student will be turning 18, has the transfer of parental 

rights been discussed? 

9. Has there been discussion about the student’s graduation 

status if the student may be graduating prior to the end of 

the IEP term? 


IEP Program Summary: Statement of Services, Participation in Regular 

Education Classes, Extra Curricular, and Non-Academic Activities (See pgs. 20-23) 

Key Question: 

What special education and 

other services are needed for the 

student to advance toward 

attaining his or her goals, be 

involved and progress in the 

general curriculum, and be 

educated with non-disabled 

peers? 

Key Question: 

Where will the student be 

educated? 

Key Question: 

Will the student participate with 

non-disabled peers in 

extracurricular and 

nonacademic activities? 

Statement of Services (See pgs. 20-21) 

1. Has the IEP team described the student specific services for: 

• Special education (specially designed instruction) 

• Related services 

• Supplementary aids and services 

• Program modifications or supports for school personnel 

2. For each service has the IEP team described: 

• Frequency and amount 

• Location (e.g., general education classroom, special 

education classroom, lunchroom, etc.) 

• Duration 

3. Are the services based on peer-reviewed research to the 

extent practicable? 

Participation in Regular Education Classes (environment) (See 

pgs. 22-23) 

Has the IEP team considered: 

1. To what extent can the student be educated in the general 

education environment with the use of supplementary aids 

and services? 

2. To what extent can the student’s special education and 

related services be provided in the general education 

environment ? 

3. Can any of the student’s IEP goals can be addressed in 

general education settings? 

Extra Curricular and Nonacademic Activities (See pg. 23) 

1. What special education or supports, if any, are needed to 

allow the student to participate in extracurricular and 


2. Are there any activities the student is unable to participate 

in even with support? 

The next section of this guide provides a summary of each component noted in the above 

outline. 


IEP Discussion Components 

Present Level of Academic Achievement and Functional Performance 

(PLAAFP) 

Key Question: What is the student doing now? 

1. What are the students: 

• Strengths? 

• Needs related to the student’s disability? 

• Parent concerns? 

• Current levels of academic achievement and functional 

performance? 

2. How does the student’s disability affect the student’s involvement and 

progress in the general education curriculum (the same curriculum as 

for nondisabled students) OR for preschoolers, how does the student’s 

disability affect involvement in age-appropriate activities? 

• To what extent, if any, the student would not be involved in the 

general curriculum or, for preschoolers, age-appropriate activities? 

3. Does the PLAAFP establish a baseline of information about the student 

that can be used as the starting point from which to determine progress 

toward annual goals? 

• Describes both academic and non-academic areas such as classroom, 

community, bus, lunchroom 

• Includes current formal and informal educational performance data 

• Describes performance areas meaningful in the student’s life and 

daily environment 


• Describes learning accommodations, learning strategies 

4. Does the PLAAF address program modifications, accommodations, 

learning strategies, etc. that help the student participate in general 

education curriculum and environments? 

Legal Citation(s) 34 C.F.R. §300.320(a)(1); 34 C.F.R. §300.320(a)(5) 

Wis. Stat. §115.787(2)(a); Wis. Stat. §115.787(2)(d) 

DPI Resources DPI Sample Form I-4 and accompanying forms guide 

Guide to Connecting Academic Standards and IEPs - 

http://dpi.wi.gov/sped/pdf/iepstandardsguide.pdf 

Definition: A statement about the student’s: 

• Strengths 

• Current levels of academic achievement and functional performance 

• Needs resulting from the disability that affect involvement and 


progress in the general education curriculum (for preschoolers, ageappropriate 

activities) 

• Needs resulting from the disability that affect behavior, motor, 

communication, social-emotional or self-help skills 

• Parental concerns 

The PLAAPF provides a baseline for IEP goals 

General education curriculum refers to what the student will be taught, 

not where the student will be taught. The general education curriculum is 

the common core of subjects and other curricular areas adopted by the 

district, or school within a district, for all students within each general age 

or grade grouping from preschool through secondary school. “Full time in 

the general curriculum” means the student’s instruction addresses the 

standards for nondisabled children in the student’s general age or grade 

grouping in all areas of the LEA’s curriculum. A student with a disability 

may participate in the general curriculum with or without 

accommodations. A student may participate in the general education 

curriculum even if the student receives instruction in a special education 

environment (e.g. resource room). 

Purpose: To establish a baseline of measurable information that serves as the 

starting point from which to measure progress toward annual goals. 

Key Characteristics: • Individualized 

• Measurable means observable (you can see it, hear it, touch it) 

• Describes both academic and non-academic areas of need related to the 

disability 

• Academic achievement refers to a student’s performance in academic 

content areas (e.g. reading, language arts, math, science, history) 

• Functional refers to purposeful and practical activities in a student’s 

daily environment(s) such as classroom, community, bus, or lunchroom. 

Functional performance includes the following: 

o Activities and skills not considered academic or directly related to 

a student’s academic achievement 

o Routine activities of daily living 

o Skills needed for independence and performance at school, in the 

home, in the community, for leisure time, and for post-secondary 

and life-long learning 

o Motor skills, personal care, time and money, school/work habits, 

home/community orientation 

o Behavior and interpersonal relationships 

• Includes current formal and informal educational performance data such 

as curriculum based measurements, IEP progress monitoring, behavior 

rating scales 


• Includes baseline data for each annual goal (including transition when 

age-appropriate) 


• Describes specific learning accommodations, learning strategies, level 

of independence, and general need for assistance 

• Addresses the impact of the disability on the student’s life 

• Reflects consideration of all academic and non-academic areas affected 

by the student’s disability 

• Addresses the student’s ability to participate in the general education 

curriculum and environment and the extent to which the student can be 

involved full-time in the general education curriculum or, for 

preschoolers, in age appropriate programming. (See Appendix B- 

Access to General Curriculum (Standards & IEPs) 

• When considering post-secondary transition, address the student’s 

present levels of performance related to the student’s need for postsecondary 

training, education, employment, and, where appropriate, 

independent living skills 

Keep this in mind! Your PLAAFP is complete when: 

• It describes both the academic achievement and functional performance of the student; 

• It describes the student’s disability related needs in an observable and measurable way; 

• A stranger can read it and understand what the student is doing; AND 

• It describes how the disability affects the student’s involvement and progress in the general 

education curriculum. 


Special Factors 

Key Question: Are there special factors that need to be considered to allow 

students to benefit from their education? 

Legal Citation(s) 34 C.F.R. §300.324(a)(2); Wis. Stat. §115.787(3)(b) 

DPI Resources DPI Sample Forms I-4 and I-5 and accompanying forms guide 

Definition: Special factors are considerations about how each of the following affect 

the student’s ability to receive FAPE: 

• Behavior 

• Limited English proficiency 

• Assistive technology 

• Braille needs for students who have visual impairments 

• Communication needs of students 

o Special considerations for students with deafness or hearing 

impairments 

Key Characteristics: Special factors should be considered without regard to disability category 

(e.g. think about behavioral factors for all students not just those with 

emotional behavioral disabilities). There are specific special factors to 

consider for students who have vision and hearing impairments. 

Behavior: 

Key Questions: 1. Is the student’s behavior impacting his or her learning or that of 

others? 

2. If yes, what positive behavioral interventions, supports, or other 

strategies could address the behavior? 

3. If special education services are needed to address the student’s 

behavior needs, are the needs addressed in the IEP ( e.g. in PLAAPF, 

goals and services as appropriate)? 

Limited English Proficiency: 

Key Questions: 1. Does the student’s level of English language proficiency affect the 

special education and related services needed by the student? If so, 

to what extent? 

2. Will any of the special education and related services needed by the 

student be provided in a language other than English? 


Communication: 

Key Questions: 1. Does the student have communication needs that hinder learning? 

2. Does the student need to learn or use special language or 

communication skills and strategies? 


communication needs, are the needs addressed in the IEP ( e.g. in 

PLAAPF, goals and services as appropriate) 

4. For students who are deaf or hard of hearing also ask: 

• Does the student have opportunities for direct communication 

with peers and professional personnel in his or her language and 

communication mode and at the student’s academic level? For 

example, a hearing impaired student may need opportunities to 

communicate with peers and teachers with American Sign 

Language (ASL). 

• What is the student’s full range of needs, including opportunities 

for direct instruction in the student’s language and 

communication mode? 

Assistive Technology: 

Key Questions: 1. What, if any, assistive technology devices or services does the student 

need to achieve her or his annual goals? 

2. Does the student require special assistive technology to participate in 

the general education curriculum or environment? 

3. Does the student need to learn new or improve skills to use assistive 

technology devices and/or services? 


behavior needs, are the needs addressed in the IEP (e.g. in PLAAPF, 


Braille Needs For Students With Visual Impairments: 

Key Questions: 1. What are the student’s reading and writing skills? 

2. What learning medium (or media) does the student need to access core 

and expanded curriculum areas? Does the student need to use Braille 

in any area? 

3. Does the student need instruction in Braille? 

4. If a learning media other than Braille is determined to be more 

appropriate for the student at this time, indicate the criteria used to 

make this decision. 


behavior needs, are the needs addressed in the IEP ( e.g. in PLAAPF, 



Annual Goal Statements including Short Term Objectives or 

Benchmarks and Progress Measurement and Reporting 

Annual Goal 

Key Question: What should the student be doing in the next 12 months? 

1. What areas of the general curriculum are affected by the disability? 

2. What are each of the student’s other educational needs resulting from 

the student’s disability (academic and functional) including behavior, 

motor, social-emotional, communication, and self-help? 

3. Is each disability related need that you will be writing a goal for 

addressed in the PLAAPF? 

Legal Citation(s) 34 C.F.R. §300.320(a)(2)(i); Wis. Stat. §115.787(2)(b) 


Guide to Connecting Academic Standards and IEPs- 

http://dpi.wi.gov/sped/pdf/iepstandardsguide.pdf 

Definition: An annual goal: 

• Is directly related to meeting a student need identified in the PLAAFP 

• Addresses the student’s disability related needs to enable participation 

in the general education curriculum 

• Addresses any other education needs related to the disability 

• Specifies a clear, measurable level of attainment: the student… will 

do what… to what level/degree 

• Addresses academic and functional skill areas 

• Includes short-term objectives or benchmarks for students with 

disabilities who take an alternative assessment aligned with alternate 

achievement standards (WAA-SWD); not required for students who take 

the Wisconsin knowledge and concepts examination (WKCE) 

Purpose: To describe what a student can reasonably be expected to accomplish 

within 12 months. 

Key Characteristics: • Related to meeting needs that result from the disability to enable 

involvement and progress in the general curriculum (based on the 

Wisconsin Model Academic Standards). General curriculum means 

the same curriculum based on the same standards as for nondisabled 

students, even if using different text of other materials 

• Academic, non-academic and functional 

• Measurable – means observable (you can see it, hear it, count it). 

• Can be achieved within the term of the IEP 

• Includes a projected level of attainment 

• Post-secondary transition related annual goals beginning at age 14 or 

younger, if needed 


Short Term Objectives or Benchmarks 

Required for students with disabilities who participate in the Wisconsin Alternate 

Assessment for Students with Disabilities (WAA-SwD); optional for other students. 

Key Questions: What will the student need to do to achieve each goal? 

1. What sequential intermediate steps or temporal milestones are needed 

to reach goal (2 or more for each goal)? 

2. What indicators of progress toward meeting the goal will be measured 

intermittently during the year? 

3. Do the short-term objectives define the discrete steps to a goal; The 

student… will do what…to what level/degree? Or, do the benchmarks 

identify major milestones in achieving a goal within specified 

segments of a 12-month timeframe; The student… will do what… to 

what level/degree… by when? 

Legal Citation(s) 34 C.F,R. §300.320(a)(2)(ii); Wis. Stat. §115.787(2)(bm) 


Purpose: To outline the steps or milestones in moving from a student’s PLAAPF 

toward an annual goal so that progress can be measured in intermediate 

steps or intervals during the year. 

Key Characteristics: • Required for each annual goal for students with disabilities who take 

the WAA-SWD. May be included for students who take the WKCE 

• General indicators of progress toward the goal 

• Sequential (crawl, then walk) or parallel (decode accurately and 

understand what is read) OR temporal milestones to the goal 

(quarterly, semester) 

• If the level of attainment is not included in the goal statement, is each 

short term objective or benchmark stated in measurable terms 

• At least two short-term objectives or benchmarks for each goal 

Progress Measurement and Reporting 

Key Question: How will progress toward IEP annual goals be measured and 

reported? 

Legal Citation(s) 34 C.F.R. §300.320(a)(3)(i); 34 C.F.R. §300.320(a)(3)(ii) 

Wis. Stat. §115.787(2)(h)(1), Wis. Stat. §115.787(2)(h)(2) 



Measure progress 

toward the annual goal: 

Notify parents of the 

student’s progress 

toward the annual goal: 

• Emphasize measuring progress toward the annual goals, which include 

short-term objectives or benchmarks 

• Use work samples, classroom exams, anecdotal logs, attendance 

records, point sheets, and so on 

• Report this progress in addition to regular reporting on the student’s 

progress in general education subjects or curricular areas 

• Provide a statement about how progress toward each annual goal will 

be measured and when parents will be informed of their student’s 

progress toward each annual goal 

• Must share information on progress periodically. Progress reporting 

may be done through quarterly or other periodic reports (for example, IEP 

goal progress reports sent to the parent at the same time as general 

education report cards). Also see Appendix B - Sample Report of 

Student Progress Toward Annual Goals 

Keep this in mind! Your annual goal (including short-term objectives or benchmarks as needed) is 

complete when you can visualize the behavior the student will be doing when the goal is achieved. 


Participation in State and District Assessments 

Key Questions: 1. Will the student participate in state and district assessments: 

• the same way as students without disabilities? 

• with accommodations? 

• with an alternate assessment? 

2. If the student needs testing accommodations, what 

accommodations are needed? 

Legal Citation(s) 34 C.F.R. §300.320 (a)(6); Wis. Stat. § 115.787 (2)(e) 

DPI Resources DPI Sample Forms I-7 and I-7(a) and accompanying forms guide 

Testing Accommodations Matrix: http://dpi.wi.gov/oea/pdf/accom09.pdf 

WAA-SwD Participation Checklist: http://dpi.wi.gov/sped/assmtwaa.html. 

Definitions: Participation means providing students with disabilities the same 

opportunity as students without disabilities to demonstrate 

knowledge and skills on state or district assessments. State 

assessments mean the Wisconsin Student Assessment System 

(WSAS) which includes: 

• Wisconsin Knowledge and Concepts Examination (WKCE) 

given at 3 rd ,4 th , 5 th , 6 th , 7 th , 8 th , and 10 th grade 

• Wisconsin Alternate Assessment – Students with Disabilities 

(WAA-SwD) given at 3 rd , 4 th , 5 th , 6 th , 7 th , 8 th , and 10 th grade 

Accommodations are adjustments in the way a test is given that 

creates access and diminishes the impact of the disability on the 

student’s opportunity to demonstrate what they know without 

changing what the test is designed to measure. Accommodations 

may be necessary to measure academic achievement and functional 

performance on the WKCE and the WAA-SwD and district wide 

assessments. 

Alternate assessment is the WAA-SwD. It is a performance based 

assessment. The WAA-SwD is used when the IEP team determines, 

even with accommodations, a student would be unable to 

demonstrate at least some of the knowledge and skills measured by a 

standardized assessment. The only alternate assessment for the 

WKCE is the WAA-SwD. 

Purpose: • To provide information about how a student with a disability is 

progressing in the general curriculum based on the Wisconsin 

Model Academic Standards or how a student is progressing in an 

alternate curriculum based on the Extended Grade Band Standards 


Key Characteristics: 

• To guide decision making about the student’s learning and 

instructional needs and participation in state and district 

assessments 

Participation decisions made by the IEP team are based on 

knowledge of: 

• The student’s present level of academic achievement and 

functional performance 

• Wisconsin Model Academic Standards and the Extended 

Grade Level Standards 

• WKCE test format and what skills and knowledge are being 

measured by the assessments 

• District test formats and what skills and knowledge are being 

measured by the assessments 

• State guidelines and the use of appropriate testing 

accommodations listed in the Accommodation Matrix 

• Selected accommodations should be those already being used 

by the student in their educational program 

• The student should familiar with selected accommodations 

prior to testing 

Participation decisions are made prior to the student taking the test 

• If a student cannot participate in a regular assessment, the IEP 

must state why the student cannot participate and why the 

alternate assessment is appropriate for the student using the 

WAA-SwD Participation Checklist 


Statement of Transition Service Needs (Beginning at Age 14) 

Key Questions: What are the student’s transition service needs? 

1. What does the student want to do and how does the student want to 

live after high school (post-school goals)? 

2. What is the student’s present level of functioning in relation to his or 

her post-school goals? 

3. What transition services are needed to assist the student in reaching 

his or her post-school goals related to training, education, 

employment, and, where appropriate, independent living? 

4. Is the student expected to graduate with a regular diploma during the 

IEP term. 

5. Will any outside agencies provide needed transition services? 

Legal Citation(s) 34 C.F.R. §300.320 (b); 34 C.F.R.§300.320 (c); 34 C.F.R §300.305(e)(3) 

Wis. Stat. § 115.787 (2) (g); Wis. Stat. § 115.807 


Transition Resources at http://www.dpi.wi.gov/sped/transition.html 

Definition: The IEP statement of transition service includes: 

• Appropriate measurable postsecondary goals that are annually updated 

and based upon an age appropriate transition assessment 

• Transition services, including courses of study, that will reasonably 

enable the student to meet their postsecondary goals 

• Annual iep goals related to the student’s transition services needs 

Purpose: A statement of transition services beginning at age 14 serves to: 

• Identify goals for life after high school and develop a plan to achieve 

them 

• Provide school experiences that develop the skills and competencies 

needed to achieve post-school goals 

• Actively involve the student and his/her family in transition iep 

development 

• Encourage self-advocacy 

• Identify accommodations and modifications needed to achieve postschool 

goals 

Key Characteristics: • Developed beginning when the student first becomes 14, or younger if 

appropriate. Then, reviewed and revised annually 

• Part of an ongoing process of transition assessment 

• Takes into account individual needs, preferences and interests 


• Describes the student’s post-school goals 

• Measurable annual goal(s) have been developed to enable the student 

to meet post-secondary goals 

• Describes transition services needed to enable the student to meet his 

or her postsecondary goals related to training, education, employment, 

and, where appropriate, independent living 

• Includes a course of study aligned with the student’s desired postschool 

goals 

• The student must be invited to the IEP team meeting where transition 

services are to be discussed 

• If appropriate, a representative of any participating agency is invited 

to the IEP team meeting with the prior consent of the parent or adult 

student 

• Beginning at least one year before the student turns 18, the student 

must be informed of the parental rights that will transfer to him or her 

at age 18. The student’s parents must also be informed 

• If the student is expected to graduate during the IEP term, discuss the 

student’s graduation status and performance summary 


IEP Program Summary: Statement of Services, Participation in 

Regular Education Classes (environment), and Extra Curricular and 

Non-Academic Activities 

Statement of Services 

Key Questions: 1. What special education, related services and supplementary aids and 

services are needed by the student to: 

a. Attain annual goals? 

b. Be involved and progress in the general education curriculum? 

c. Participate in extracurricular and other non-academic activities? 

d. Be educated and participate with other students with and without 

disabilities? 

2. What program modifications or supports are needed for school 

personnel to enable the student to meet IEP goals, progress in the 

general curriculum, participate in extracurricular and other nonacademic 

activities, and be educated with disabled and non-disabled 

peers? 

3. Are the student’s special education, related services and supplementary 

aids and services based on peer-reviewed research to the extent 

practicable? 

Legal 

Citation(s) 

34 C.F.R. §300.106; 34 C.F.R. §300.114; 34 C.F.R. §300.320(a)(4); 

34 C.F.R. §300.320(a)(5); 

Wis. Stat. §115.79 (c-d); Wis. Stat. §115.787(2) (c-d); 

Definitions: 34 C.F.R. §300.34, 34 C.F.R §300.39, 34 C.F.R §300.42; 

Wis. Stats §115.76(14-16). 


DPI Sample Form I-11 (when extended school year services considered) 

Information Update Bulletin 96.01- http://www.dpi.wi.gov/sped/bul96-01.html 

EE-1 Data Worksheet for Determining Environment Codes 

Definitions: • Special education means specially designed instruction, regardless of 

where the instruction is provided, at no cost to the parents, to meet the 

unique needs of a student with a disability. Special education may 

include specially designed physical education, vocational education and 

travel training. 

• Related services means transportation and such developmental, 

corrective and other supportive services as are required to assist a 

student with a disability to benefit from special education. 

• Supplementary aids and services means aids, services and other 

supports provided in general education classes, other education-related 

settings and in extracurricular and nonacademic settings, to enable a 

student with a disability to be educated with nondisabled students to the 

maximum extent appropriate. 


• Program modifications or supports for school personnel are 

provided on behalf of the student and may include services such as 

consultation between general and special education teachers, training, 

or assistance with modifying assignments, teaching techniques, 

curriculum materials, or classroom assessment methods. 

• Extended School Year Services (ESY) means special education 

services provided beyond the normal school schedule. ESY services 

are considered only when the IEP team determines they are required for 

the student to receive FAPE. 

Purpose: To describe the services the district will provide to address disability 

related needs in a manner clear to the parents, other IEP team participants, 

and staff responsible for implementing the IEP. The statement of services 

documents the district’s commitment to provide special education, related 

services, supplementary aids and services, and program modifications and 

supports for school personnel to enable the student to advance toward the 

annual IEP goals, be involved in and make progress in the general 

education curriculum, participate in extracurricular and other non-academic 

activities and be educated and participate with non-disabled peers . 

Key 

Characteristics: 

• Describes student specific specially designed instruction and other 

services needed to address the student’s IEP goals and other disability 

related needs described throughout the IEP (e.g. reading, social skills, 

occupational therapy, transportation, accommodations). 

• Describes how much and how often (amount and frequency) the service 

is provided. 

o Whenever possible, worded in daily or weekly allotments 

of hours or minutes according to when the service is 

scheduled (e.g. 20 minutes 3x per week, 60 minutes daily). 

o When impossible to describe services in specific allotments 

of time, clearly describes the circumstances under which 

the service will be provided (e.g. tests read when text is 

above student’s independent reading level). 

o A narrow range is only allowable if necessary to meet 

student needs (e.g. 20-30 minutes depending on student’s 

ability to sustain attention). Using ranges because of staff 

schedules or shortages are not acceptable. 

• Describes the setting(s) where (location) the service is delivered (e.g. 

special education classroom, general education classroom, lunchroom, 

counselor’s office). 

• Describes for how long the service is delivered (duration), if different 

from the IEP beginning and ending dates (e.g. twice weekly during first 

semester, between January 1 and June 5, 20XX). 

• Identifies curriculum adaptations and modifications (supplementary 

aids and services) needed to allow the student to meaningfully 


participate to the maximum extent appropriate in the general education 

curriculum and environment(s). 

• Consider supports for school personnel needed to allow the student to 

meet IEP goals, meaningfully participate to the maximum extent 

appropriate in the general education curriculum and environment(s), 

and address other disability related needs. 

• Describes extended school year services if the IEP team determines 

such services are needed. When ESY is considered the IEP team 

addresses skill regression and recovery problems. 

Participation in Regular Education Classes (part of Least Restrictive 

Environment (LRE) Consideration) 

Key Question 1. Will the student participate full-time with non-disabled peers in the 

general education environment? 

a. Will the student be educated in general education classes/ 

environment with the use of supplementary aids and services? 

b. Will special education and related services be provided to the 

student in the general education classes/environment? 

c. Will a preschool child participate in age appropriate settings with 

nondisabled peers? 

Definition Participation in regular education refers to the environment(s) in which 

a student will receive a free, appropriate public education (FAPE). This 

includes regular education classes and other school environments. The 

Regular education environment is: 

• the environment where the student would be if not disabled. 

• the environment where other students this student’s age receive 

instruction. 

The degree to which a student will be educated and participate with nondisabled 

peers in regular education environment(s) is part of the 

consideration of least restrictive environment (LRE). The LRE decision 

evolves from the IEP team’s consideration of the student’s ability to 

participate in the general education curriculum, need for specially 

designed instruction and related services and the degree to which 

participation with non-disabled peers can be achieved with the use of 

supplementary aids and services. The concept of LRE is reflected 

throughout the individualized education plan. 

Purpose: 

Key 


To document the degree to which the student will participate full-time with 

non-disabled peers in regular education environment(s), or for 

preschoolers, in age–appropriated settings. 

• Based on the individual needs of the student 

• Considers the nature and severity of the student’s disability 


• Considers which student needs can be met satisfactorily with the use of 

supplementary aids and services in the general education environment 

• Considers the environments where other students of the same age/grade 

receive instruction and participate in other school activities 

• Describes the extent to which the student will participate in the same 

environments as age/grade peers (e.g. full, partial, none) 

• For preschool age students, consider natural environments (e.g. child 

care, preschool, kindergarten, home, Head Start etc.) 

• Along with the summary of services statements, clarifies the extent to 

which the student will not participate with students without disabilities 

in general education classes and other environments 

Special Note: The LRE decision is documented in several places in the student’s IEP. 

Part of the IEP team decision about LRE is documented in the Program 

Summary. LRE decisions are also documented on the Placement Notice. 

This section of this guide addresses only the portion found in the program 

summary- See forms guide and DPI website for information about making 

placement decisions, assigning environment codes and placement notice 

requirements. The IEP team may use DPI form EE-1 Data Worksheet for 

Determining Environment Codes. 

Extra Curricular and Nonacademic Activities 

Key Question: Will the student participate with non-disabled peers in extracurricular and 


Key 


• Consider the extracurricular and nonacademic activities in which the 

student will participate, if any. 

• Describe what special education services the student will need to 

participate in extracurricular and nonacademic activities. 

• Describe what related services the student will need to participate in 

extracurricular and nonacademic activities. 

• Describe what supplementary aids and services the student will need to 

participate in extracurricular and nonacademic activities. 

• Describe what program modifications or supports the student will need 

to participate in extracurricular and nonacademic activities. 

• Describe the extent to which the student will not be involved in 

extracurricular and nonacademic activities with nondisabled students. 

Keep this in mind! You have completed the summary of educational services when it reflects 

each goal and addresses the student’s other disability related needs. 


Appendix A: Case Examples 

Dan 

Ed 

Erin 

Jamal 


Dan’s IEP 


Dan is a fourth grader who has a good sense of humor and is accepted by his peers. Dan can successfully 

participate in the fourth grade math curriculum without special education support. He 

does well in general education science and social studies, but needs help with independent reading 

and writing assignments. Dan experiences success when provided with an assignment notebook, 

reading of tests, reading support for long text passages assigned to be completed independently 

within a short time period, and assistance from a peer or teacher for written assignments. 

Dan has difficulty with reading. He can identify most letters and letter combinations in isolation, 

but struggles to apply decoding strategies to unfamiliar words when reading text. This affects his 

oral reading rate, which is slow and labored. Dan cannot independently read textbooks used in his 

4th grade classes. Dan accurately reads and comprehends 95 words per minute given graded 

passages at the second grade level; his independent reading level. His fluency in 4th grade 

passages is poor; He averages 55 words read correctly per minute with less than 75% comprehension. 

Students in 4th grade are expected to read passages with 90-100% comprehension at the rate 

of 120-150 words per minute. Dan demonstrates good listening comprehension. He understands 

academic content at grade level following large and small group instruction, and when text is read 

to him by a peer, staff, or computer based text reader. He is able to report facts and make 

inferences from listening at a level expected of students in his grade. 

Dan also has difficulty with writing and following complex oral and written directions. When he 

doesn’t understand what to do in class, he generally picks up on cues from peers around him. 

Dan can successfully follow 1 and 2-step directions without support. However, when instructions 

are more complex, he sometimes needs help. This makes it hard for him to follow classroom 

activities and assignments. His written work contains many spelling errors, lacks necessary 

punctuation, and his sentences are generally short, 3-5 words in length. He cannot yet write a 

paragraph without assistance. He does respond well to peer or teacher pre-writing and editing 

assistance and is beginning to learn to use computer based spell-checking and editing software. 

Dan’s parents are concerned about his reading and writing skills and feel he needs help in these 

areas. They also notice his difficulty in following directions. They are happy with his grades in 

math and his comments that he has friends in school. 

Annotated Text for Dan’s Present Level of Academic Achievement and Functional Performance 

The following annotated copy of Dan’s Present Level of Academic Achievement and Functional Performance 

(PLAAFP) is for training purposes ONLY. It contains the following information: strengths, needs resulting from 

Dan’s disability that affect involvement and progress in the general education curriculum; needs resulting from his 

disability that affect behavior, motor, communication, social-emotional or self-help skills; and parent concerns. It 

also includes Dan’s current level of academic achievement and functional performance that serve as a baseline for 

each of his measurable annual goals. 

Dan is a fourth grader who has a good sense of humor and is 

accepted by his peers. Dan can successfully participate in the 

fourth grade math curriculum without special education 

support. He does well in general education science and social 

studies… 

Strength 

Functional 

performance 

Academic 

achievement 


How disability affects 

involvement in 

general curriculum. 




He needs help with independent reading and writing 

assignments. Dan experiences success when provided with an 

assignment notebook, reading of tests, reading support for 

long text passages assigned to be completed independently 

within a short time period, and assistance from a peer or 

teacher for written assignments. 

Dan has difficulty with reading. He can identify most letters 

and letter combinations in isolation, but struggles to apply 

decoding strategies to unfamiliar words when reading text. 

This affects his oral reading rate, which is slow and labored. 

Dan cannot independently read textbooks used in his 4th grade 

classes. 

Baseline for Goal 1 Dan accurately reads and comprehends 95 words per minute 

given graded passages at the second grade level; his 

independent reading level. His fluency in 4th grade passages 

is poor; He averages 55 words read correctly per minute with 

less than 75% comprehension. Students in 4th grade are 

expected to read passages with 90-100% comprehension at the 

rate of 120-150 words per minute. 




Dan demonstrates good listening comprehension. He 

understands academic content at grade level following large 

and small group instruction, and when text is read to him by a 

peer, staff, or computer based text reader. He is able to report 

facts and make inferences from listening at a level expected of 

students in his grade. 

Dan also has difficulty with writing and following complex 

oral and written directions. 

When he doesn’t understand what to do in class, he generally 

picks up on cues from peers around him. 

Baseline for Goal 3 Dan can successfully follow 1 and 2-step directions without 

support. 




However, when instructions are more complex, he sometimes 

needs help. This makes it hard for him to follow classroom 

activities and assignments. 

Baseline for Goal 2 His written work contains many spelling errors,lacks necessary 

punctuation, and his sentences are generally short, 3-5 words 

in length. He cannot yet write a paragraph without assistance. 

He does respond well to peer or teacher pre-writing and 

editing assistance and is beginning to learn to use computer 

based spell-checking and editing software. 

Need 

Academic 

achievement 

Strength 

Academic 

achievement 

Need 

Strength 

Functional 


Strength 

Need 

Need 

Academic 

achievement 

Strength 


Dan’s parents are concerned about his reading and writing 

skills and feel he needs help in these areas. They also notice 

his difficulty in following directions. They are happy with his 

grades in math and his comments that he has friends in school. 

Parent concern 

Will the student be involved full-time in the general education curriculum or, for 

preschoolers, in age-appropriate activities? Yes □ No (If no, describe the extent to which 

the student will not be involved full-time in the general curriculum or, for preschoolers, in age-appropriate activities) 

Instruction provided in the special education resource room will expand upon and reinforce 

the core general education curriculum for Dan’s grade. 

The student will participate in an alternate or replacement curriculum that is aligned with alternate 

achievement standards in: (check all that apply) 

__ Reading ___ Math __ Language Arts __ Science __ Social Studies _ Other (specify): NA 

Special Factors: After consideration for special factors (behavior, limited English proficiency, Braille 

needs, communication needs including deaf/hard of hearing, and assistive technology), is there a need in 

any of the areas? 

Yes □ No (If yes or student has a visual impairment, attach I-5, “Special Factors” page) 

Does the student need assistive technology services or devices? Yes □ No (If yes, specify 

particular device(s) and service(s)) 

Dan is beginning to learn how to use computer based text reading and written language 

support software. Continued instruction in the use of such technology is needed to help Dan 

complete school work more independently. 

Annual Measurable Goals 

Measurable level of 

attainment (Referenced 

to fourth grade 

Wisconsin Academic 

Standards) 





Standards) 

Goal 1: Dan will apply decoding strategies to improve his reading 

fluency of 4 th grade passages to 90 words read correctly per minute with 

90% comprehension. 

Procedures for measuring progress toward the annual goal: 

Weekly timed oral readings where Dan’s use of decoding strategies is 

recorded, Log observations about Dan’s reading of classroom materials. 

When periodic reports about student progress toward meeting the 

annual goal will be provided to the parents: 

1. Monthly phone or email correspondence with parents. 

2. Written progress report at the time report cards are distributed. 

Goal 2: Dan will write a paragraph of at least five, 8-10 word sentences 

with no more than one error in spelling and punctuation after editing. 

Objectives: 

1. With individualized instruction, Dan will apply strategies including 

phonetic analysis and word families to spell unfamiliar words. 

2. Using a spell checker and writing support software, Dan will edit his 

writing and make spelling corrections. 

3. Using an explicit writing process strategy and teacher assistance, 






Standards) 

Participation in Statewide Assessments 

Dan will plan and write a paragraph on a topic using correct 

grammar, punctuation and spelling. 

4. With a peer editor or teacher, Dan will review writing assignments 

and make needed corrections. 


1. Weekly analysis using district writing rubric on 2 writing samples to 

assess spelling, punctuation and writing strategies. 

2. Quarterly interviews with Dan to assess the effectiveness of spelling 

and writing strategies being used and make refinements. 

3. Weekly recording of the accuracy of two or more peer edited writing 

assignments Dan completes. 





Goal 3: Dan will demonstrate understanding of 3 or 4 step classroom 

directions by following them without teacher prompting in 4 of 5 

opportunities. 


1. Anecdotal records of Dan’s use of clarifying questions and teacher 

prompting. 

2. Bi-weekly regular classroom observation charting of the number of 

steps Dan can follow in performing classroom activities. 





The student will be in (circle) 3d, or 4th, or 5th, or 6th, or 7th, or 8th, or 10th grade when the 

Wisconsin Knowledge and Concepts Examination-Criteria Reference Test (WKCE-CRT) is given. (Check 

only one of the two boxes below.) 

The student will be taking the WKCE for all content areas required at this grade level. (For students 

taking the WKCE, complete the assessment and accommodations grid below. Document the accommodations, if 

any, needed for each of the content areas for students taking the WKCE.) 

OR 

� The student will be taking the WAA-SwD for all content areas required at this grade level. If yes, the 

Wisconsin Alternate Assessment (WAA) Participation Checklist is included with the IEP. For students 

taking the WAA-SwD document the accommodations, if any, needed for the alternate assessment. 


Student 

will 

participate 

in the: 

Reading 

Math 

Science 

Language 

Arts 

Social 

Studies 

WKCE 

without 

accommodations 

in 

the content 

areas of: 

WKCE with accommodations (list 

accommodations for each content area) 

Accommodations: 

• Read directions aloud and reread as needed. 

• Student takes test with a small group 

• Provide extra time 


• Read directions aloud and reread as needed 

• Read questions and content to student. 

• Provide spelling assistance or a spell-check 

device 







device 












device 



Participation in District-Wide Assessments 

District-wide assessments given � District-wide assessments not given 

� Student will not be in the grade when a district-wide assessment is given 

List district-wide assessment(s) student will take: 

District X Reading and Math Test 

WAA-SwD 

list accommodations for 

each content area 




Describe appropriate testing accommodations, if any: 

Repeat/explain test instructions, extra time to complete assessment, read test items except for 

reading test 


IEP- Program Summary 

Physical education: Regular □ Specially designed 

Vocational education: Regular □ Specially designed 

Include a statement for each of I, II, III and IV below to allow the student (1) to advance appropriately 

toward attaining the annual goals; (2) to be involved and progress in the general education curriculum; (3) 

to be educated and participate with other students with and without disabilities to the extent appropriate, 

and (4) to participate in extracurricular and other nonacademic activities. Include frequency, location, & 

duration (if different from IEP beginning and ending dates). 

I. Special education 

Frequency/ Location Duration 

Amount 

Small group instruction in reading 30 minutes, 5 

times per week 

Small group instruction in spelling, grammar, 

sentence and paragraph development 

Small and large group instruction in computer 

technology used to support reading and writing 

skills 

20 minutes, 3 


15 minutes per 

week 


week 

Special 

education 

resource room 

Special ed. 

resource room 


resource room 

General ed. 

classroom and 

computer lab 

Same as 

IEP 

Same as 

IEP 

Same as 

IEP 

Same as 

IEP 

II. Related services needed to benefit from special education including frequency, location, and 


None needed to benefit from special education 

III. Supplementary aids and services: aids, 

services, and other supports provided to or on behalf 

of the student in regular education or other 

educational settings. 

Yes □ No (If yes, describe) 

Electronic spell checker When assigned 

writing 

Oral administration of tests 

Additional time to edit and complete writing 

assignments 

Classroom text on tape or on computer for use 

with text reading software 

Freq / Amt Location Duration 

assignment 

Tests with more 

than 5 questions 

or 10 words per 

question. 

Assignments 

requiring more 

than 5 sentences. 

Literature, 

science, and 

social studies text 

not read in class 

Special & 

general ed. 

classrooms 


classroom or 

library office 

General & 

special ed. 

classrooms 

Special & 

general ed. 

classroom 

Same as 

IEP 

Same as 

IEP 

Same as 

IEP 

Same as 

IEP 


Peer editor for writing 45 minutes per 

week 

Teacher assistance in planning writing 

assignments 

IV. Program modifications or supports for 

school personnel that will be provided. 


Consultation between special education and 

general education teachers 

V. Participation in Regular Education Classes 

When assigned 

writing task 


than 1 paragraph 


month 

General 

education 

classroom 

General and 

special 

education 

classroom 

General 

education 

classroom 

Same as 

IEP 

Same as 

IEP 

Same as 

IEP 

□ The student will participate full-time with non-disabled peers in regular education classes, or 

for preschoolers, in age-appropriate settings. 

The student will not participate full-time with non-disabled peers in regular education 

classes, or for preschoolers, in age-appropriate settings. (If you have indicated a location other than 

regular education classes or age-appropriate settings in the case of a preschooler in I, II, or III above, you must 

check this box and explain why full-time participation with non-disabled peers is not appropriate.) 

Because of his individual learning needs in basic reading and writing skills, Dan will be 

removed from regular education classes to the special education resource room for specially 

designed instruction during part of the reading and language arts block time. Dan will receive 

all other instruction in general education settings with needed supplemental aids and services. 

VI. Participation in Extracurricular and Nonacademic Activities 

Will the student be able to participate in extracurricular and nonacademic activities with 

nondisabled students? Yes □ No 

(If yes, include under I., II., III., and IV. any special education, related services, supplementary aids and services, 

and program modifications or supports necessary to assist the student. If no, describe the extent to which the student 

will not be involved in extracurricular and nonacademic activities with nondisabled students) 

Staff should check for understanding after giving complex directions during large group 

activities and repeat or explain instructions when Dan is not able to understand them or is 

unable to follow cues from his peers. 


Ed’s IEP 


Ed is a four-year-old student who spends most of his time with adults. He has had few 

experiences playing with children his age. Because of this, Ed’s parents have enrolled him in the 

district’s four-year old kindergarten program (4K). Ed’s mom reports he likes to “have his own 

way” and “doesn’t listen.” His parents find it difficult to read stories to Ed because of his short 

attention span (less than three minutes). He is able to play alone with toys for two to three 

minutes. When with other children, he cannot share or interact with toys without adult 

assistance. He becomes frustrated and bangs his toys or objects on the floor, or throws them at 

the other children. His short attention span and frustration level interferes with his ability to 

recall information from books read to him and with learning new concepts through interaction 

with toys in his environment. 

Ed is able to eat by himself and put on his underclothes, t-shirt and elastic band pants. He is not 

fully toilet trained at this time. He averages 5 to 6 “accidents” per week. Ed is able to walk, run, 

and jump independently. He is very active and especially likes to play on the swing set. 

During his first week in the 4K program, his teacher noted that Ed uses two and three word 

phrases and asks “what” and “what doing” questions. He needs to increase his language use to at 

least four to five word sentences. He also needs to learn to ask “who”, “where”, and “when” 

questions. Ed’s use of incomplete sentences and minimal use of questions interferes with his 

ability to communicate his wants and needs, and to gain information. He understands what 

children and adults say to him. 

Annotated Text for Ed’s Present Level of Academic Achievement and Functional Performance 

The following annotated copy of Ed’s Present Level of Academic Achievement and Functional Performance 


Ed’s disability that affect involvement and progress in age-appropriate activities; needs resulting from his disability 

that affect behavior, motor, communication, social-emotional or self-help skills; and parent concerns. It also 

includes Ed’s current level of academic achievement and functional performance that serve as a baseline for each of 

his measurable annual goals. 

Baseline for Goal 2 


Ed is a four-year-old student who spends most of his time with 

adults. He has had very few experiences playing with children 

his age. Because of this, Ed’s parents have enrolled him in 

the district’s four-year old kindergarten. 

Ed’s Mom, reports he likes to “have his own way” and 

“doesn’t listen.” His parents find it difficult to read stories to 

Ed because of his short attention span (less than three 

minutes). 

He is able to play alone with toys for two to three minutes. 

When with other children, he cannot share or interact with toys 

without adult assistance. He becomes frustrated and bangs his 

Parent 

concern 

Functional 


Functional 


Need 



involvement in age 

appropriate activities. 

toys on the floor or throws them at the other children 

His short attention span and frustration level interferes with 

his ability to recall information from books being read to him 

and with learning new concepts through interaction with toys 

in his environment. 

Ed is able to eat by himself and put on his underclothes, t-shirt 

and elastic band pants. 

Baseline for Goal 3 He is not fully toilet trained at this time. He averages 5 to 6 

“accidents” per week. 



involvement in age 

appropriate activities. 

Ed is able to walk, run, and jump independently. 

He is very active and especially likes to play on the swingset. 

During his first week in the 4K program, his teacher noted 

that Ed uses two and three word phrases and asks “what” and 

“what doing” questions. 

He needs to increase his language use to at least four to five 

word sentences. He also needs to learn to ask” who”,” 

where”, and “when” questions. 

Ed’s use of incomplete sentences and minimal use of questions 

interferes with his ability to communicate his wants and needs 

and to gain information. He understands what students and 

adults say to him. 

Strength 

Functional 


Need 

Strength 

Functional 


Academic 

achievement 

Need 

Will the student be involved full-time in the general education curriculum or, for 

preschoolers, in age-appropriate activities? Yes □ No (If no, describe the extent to which the 

student will not be involved full-time in the general curriculum or, for preschoolers, in age-appropriate activities) 

The student will participate in an alternate or replacement curriculum that is aligned with 

alternate achievement standards in: (check all that apply) 

__ Reading ___ Math __ Language Arts __ Science __ Social Studies _ Other (specify): NA 

Special Factors After consideration for special factors (behavior, limited English proficiency, 

Braille needs, communication needs including deaf/hard of hearing, and assistive technology), is 

there a need in any of the areas? 


Does the student’s behavior impede his/her learning or that of others? Yes □ No 

(If yes, include the positive behavioral interventions, strategies, and supports to address that behavior) 

Ed cannot share or interact with toys with other children. He becomes frustrated and bangs 

his toys or objects on the floor or throws them at the other children. In these situations he 

needs and responds well to adult modeling, redirection and gentle reminders. 


Does the student have communication needs that could impede his/her learning? Yes □ 

No (If yes, include communication needs) 

Ed has difficulty communicating his wants and needs and gain information. He requires 

specially designed language instruction and supports to be able to ask for what he needs. 




to the Wisconsin Model 

Early Learning 

Standards, 2008 

Edition) 



to the Wisconsin Early 

Learning Standards, 

2008 Edition) 

Goal 1: While playing with at least one other student, Ed will share and 

interact with toys without banging or throwing them without adult 

assistance five times per day for 10 minutes by May 15. (Social and 

Emotional Development, C. Social Competence, C.EL. 2,3) 

Benchmarks: 

1. Ed will play next to another student using different toys for 10 

minutes without throwing the toys with adult assistance at least once 

per day by October 15. 

2. Ed will play with another student using the same toys for 10 minutes 

without banging the toy with adult assistance by November 15. 

3. Ed will play with other students using the same toys for 10 minutes 

without throwing or banging the toys without adult assistance at 

least once per day by January 5. 

4. Ed will play with one other student, sharing and interacting with 

toys, at least five times per day for at least five minutes without adult 

assistance by March 15. 


1. Data recording twice per week of Ed’s play behavior during play 

activities in the classroom and on the playground. 

2. Weekly anecdotal records of play behavior during group play 

activities in the classroom and on the playground. 



1. Two times per month phone contact or personal visit with parents. 

2. IEP progress notes quarterly. 

Goal 2: Ed will listen and attend to individual and small group 

activities for at least 10 minutes 4 of 5 opportunities. (Approaches to 

Learning, A. Curiosity, Engagement and Persistence, A.EL. 2, 3; 

Language Development and Communication, A. Listening and 

Understanding, A.EL. 1, 2) 

Benchmarks: 

1. Ed will join friends or family to listen to a story for 5 minutes at least 

three times per week by November 15. 

2. With adult prompts, Ed will maintain focus while participating in a 






2008 Edition) 





2008 Edition) 

small group activity for 7 minutes by December 15. 

3. When interacting with materials in a teacher directed small group 

activity, Ed will maintain focus for at least 10 minutes at least three 

times per week by February 15. 

4. Ed will listen and attend to a 10-minute activity at least three times 

per week that includes a story and discussion by March 15. 


1. Target one story time, one small group and one individual activity 

twice weekly to record time of attending to activity. 

2. At least weekly anecdotal records of attending to activities. 





Goal 3: Ed will use the bathroom so he has no accidents during the day. 

(Health and Physical Development A. Physical Health and development, 

A.EL.1c; Language Development and communication, B. Speaking and 

Communication, B.EL. 2a) 

Benchmarks: 

1. With adult assistance, Ed will use the toilet at regular intervals daily 

by November 1. 

2. Ed will tell an adult when he needs to use the bathroom, having no 

more than four accidents per week by December 1. 

3. Ed will tell an adult when he needs to use the bathroom, having no 

more than two accidents per week by April 1 


1. Daily data recording of Ed’s telling an adult when he needs to use the 

toilet and/or uses the toilet by himself. 





Goal 4: Ed will increase his use of language by using 4-5 word 

sentences when he talks with adults and students 75% of opportunities. 

(Language Development and Communication B. Speaking and 

Communication, B.EL.2a, 2b, 2c) 

Objectives: 

1. With the assistance of picture cues, Ed will use 4-5 word sentences 

when he tells a story or talks to his family 75% of opportunities. 

2. Using verbal models and visual cues, Ed will ask “who, where and 



when questions” when he needs information from an adult or a 

student 90% of opportunities. 

3. Using verbal models and visual cues, Ed will use “no, not, can’t, 

don’t” within a sentence that contains a noun and a verb and 4-5 

words 90% of opportunities. 


1. Language sample once every three months. 

2. Data recording twice weekly of asking questions, using negative 

sentences and using plurals. 

3. Anecdotal records of Ed’s use of language. 



1. Two times per month phone call or personal visit with parent. 



Vocational education: □ Regular □ Specially designed NA 






I. Special Education Frequency/ 

Amount 

One-to-one and small group instruction in the Three days per 

areas of social-emotional, self-help, and week– 60 

language skills. 

minutes per day 

One-to-one speech/language therapy for One day per 

language usage. 

week – 30 


One day per 

week– 30 


Location Duration 

General 

Education 

Therapy room 

General 


Same as 

IEP 

Same as 

IEP 

Same as 

IEP 

II. Related services needed to benefit from special education including frequency, location, and 


None needed to benefit from special education 



services, and other supports provided to or on 

behalf of the student in regular education or other 



Picture cues to be used as a communication tool. Picture cues 

used when 

telling a story 

to family and 

other students 

Visual/picture cues for following directions and 

routines. 

IV. Program modifications or supports for 

school personnel 


Consultation regarding the implementation of 

accommodations, modifications, and cueing system. 


Visual/picture 

cues used for 

following all 

directions and 

routines 


month 

General 


General 


General 


Participation in Regular Education Classes 

□ The student will participate full-time with non-disabled peers in regular education classes, or for 

preschoolers, in age-appropriate settings. 

Same as 

IEP 

Same as 

IEP 

Same as 

IEP 

The student will not participate full-time with non-disabled peers in regular education classes, or for 

preschoolers, in age-appropriate settings. (If you have indicated a location other than regular education classes 

or age-appropriate settings in the case of a preschooler in I, II, or III above, you must check this box and explain 

why full-time participation with non-disabled peers is not appropriate.) 

Currently, Ed is attending the school district’s four-year old kindergarten. Ed has significant 

developmental delays in the areas of language, social-emotional and self-help skills. The IEP 

team considered education full-time in an early childhood special education environment, but 

determined Ed needed to spend the majority of his school day with his non-disabled peers in 

order to meet his goals and objectives. Due to his language delays, he needs to leave the 

classroom to receive individual speech and language therapy for 30 minutes one day per week. 

Participation in Extracurricular and Nonacademic Activities 


nondisabled students? Yes □ No (If yes, include under I., II., III., and IV. any special education, 

related services, supplementary aids and services, and program modifications or supports necessary to assist the 

student. If no, describe the extent to which the student will not be involved in extracurricular and nonacademic 

activities with nondisabled students) 

Ed will need adult assistance with self-help skills and adult supervision when interacting with 

other children in unstructured environments. 


Erin’s IEP 


Erin is a sixteen-year-old girl who enjoys interacting with both adults and peers. She has 

recently begun to initiate conversations with adults. Her mom and dad are very concerned about 

her ability to communicate and work outside the home when she is finished with school. Fifty 

percent of the time, her communications and interactions are inappropriate because she does not 

have the verbal skills to communicate her thoughts, wants and needs. When Erin becomes 

frustrated, she sometimes bites her hand. This happens three times weekly, on average. Erin’s 

communication and social interaction skills are significantly delayed at approximately the 6-year 

old level. At the present time, she asks questions to get information and answers questions asked 

of her about half the time. She needs to learn words that will help her interact with others in the 

classroom, school, community, at home, and on the job. She can identify twenty words and their 

meanings. Erin can tell time to the hour and can identify the appropriate measurement tools 

(ruler, tape measure and scale), but cannot yet use these tools to determine measurement of real 

objects. 

Erin’s severely delayed communication and social skills contribute significantly to her academic 

skill level and affect her participation in all environments. She currently performs at the Basic 

level of proficiency in Math and Reading using the Wisconsin Extended Grade Band Standards. 

In a classroom setting, she can work independently on tasks at her level, knows what to do next 

if given a task to complete and knows what to do if she encounters a problem. She is learning to 

transfer learned skills into daily living situations at home and school. At the present time, Erin 

can function independently about 30% of the time. Erin needs to increase her ability to function 

independently at home, school and in the community when a task needs to be completed and the 

routine is changed. Erin enjoys being around older people. Erin has not participated in any work 

exploration. A post-school outcome would be to live in a community-based living arrangement 

and work with older people in a supported work environment such as a nursing home or senior 

citizen center. 

Annotated Text for Erin’s Present Level of Academic Achievement and Functional Performance 

The following annotated copy of Erin’s Present Level of Academic Achievement and Functional Performance 


Erin’s disability that affect involvement and progress in the general education curriculum; needs resulting from her 

disability that affect behavior, motor, communication, social-emotional or self-help skills; and parent concerns. It 

also includes Erin’s current level of academic achievement and functional performance that serve as a baseline for 

each of her measurable annual goals. 

Erin is a sixteen-year-old girl who enjoys interacting with 

both adults and peers. She has recently begun to initiate 

conversations with adults. 

Her mom and dad are very concerned about her ability to 

communicate and work outside the home when she is 

finished with school. 

Strength 

Functional 




Baseline for Goal 2 50% of the time, her communication and interactions are 

inappropriate because she does not have the verbal skills 

to communicate her thoughts, wants and needs. When 

Erin becomes frustrated, she sometimes bites her hand. 

This happens 3 times weekly, on average. 

Erin’s communication and social interaction skills are 

significantly delayed at approximately the 6-year old 

level. 

Baseline for Goal 1 At the present time, she asks questions to get information 

and answers questions asked of her about half the time. 

She needs to learn words that will help her interact with 

others in the classroom, school, community, at home and 

on the job. 

Baseline for Goal 3 Currently she can identify twenty words and their 

meanings. Erin can tell time to the hour. 

Baseline for Goal 4 Erin can identify the appropriate tool used for 

measurement (ruler, tape measure and scale), but cannot 

yet use these tools to determine measurement of real 

objects. 

How disability 

affects involvement 

in general 

curriculum. 

Erin’s severely delayed communication and social skills 

contribute significantly to her academic skill level and 

affect her participation in all environments. She currently 

performs at the basic level of proficiency in Math and 

Reading using the Wisconsin Extended Grade Band 

Standards. 

In a classroom setting, she can work independently on 

tasks at her level, knows what to do next if given a task to 

complete, and knows what to do if she encounters a 

problem. 

Baseline for Goal 5 She is learning to transfer learned skills into daily living 

situations at home and school. At the present time, Erin 

can function independently about 30% of the time. 

Erin needs to increase her ability to function 

independently at home, school and in the community when 

a task needs to be completed and the routine is changed. 

Need 

Functional 


Need 

Academic 

achievement 

Academic 

achievement 

Need 

Strength 

Functional 


Need 

Erin enjoys being around older people. Strength 

Baseline for Goal 6 Erin has not participated in any work exploration. 

A post-school outcome would be to live in a communitybased 

living arrangement and work with older people in a 

supported work environment such as a nursing home or 

senior citizens center. 

Need 


General Education Curriculum 

Will the student be involved full-time in the general education curriculum or, for preschoolers, in 

age appropriate activities? Yes No (If no, describe the extent to which the student will not be 

involved full-time in the general curriculum or, for preschoolers, in age –appropriate activities) 

Erin’s academic and independent living skills are well below her chronological age level. She 

is needs an alternate curriculum based on the Wisconsin Extended Grade-Band Standards. 

The student will participate in an alternate or replacement curriculum that is aligned with 

alternate achievement standards in: (check all that apply) 

_X_ Reading _X_ Math _X_ Language Arts _X_ Science _X_ Social Studies __Other (specify): 

Special Factors After consideration for special factors (behavior, limited English proficiency, 

Braille needs, communication needs including deaf/hard of hearing, and assistive technology), is 

there a need in any of the areas? 




Erin sometimes bites her hand when frustrated, has difficulty with transitions, and does not 

always know how to act in social situations. In these situations she needs and responds well 

to adult modeling, prompts and schedule reminders. 

Does the student have communication needs that could impede his/her learning? 

Yes □ No (If yes, include communication needs) 

Erin has difficulty communicating her wants, thoughts and needs. She requires specially 

designed language instruction and supports to address this need. 




to the Wisconsin 

Extended Grade-Band 

Standards) 

Goal 1: When talking with adults and peers, Erin will increase her 

ability to ask questions when appropriate and answer questions 

appropriately 90% of the time. 

Objectives: 

1. With verbal models and cues, Erin will answer “what, where, when, 

or who” questions correctly 90% of the time. 

2. With verbal cues, Erin will ask adults and peers questions that relate 

to the current task or situation 90% of the time. 

Procedures for measuring the student’s progress toward meeting 

the annual goal: 

1. Interviews with Erin’s teachers, paraeducator, and other school staff 


with whom she interacts to record data about question asking and 

answering. 

2. Phone conversations with parents to record data about question 

asking and answering. 

3. Targeted data recording in the classroom while Erin is engaged in 

activities. 



1. Twice monthly phone contacts. 

2. Quarterly parent conferences. 

3. Written progress report at the same times as regular high school 

reporting periods. 

Goal 2: Erin will increase her ability to independently communicate 

with adults and peers by telling others what she is thinking, wanting or 

needing by meeting the following objectives: 

Objectives: 

1. With verbal cues, Erin will ask for help when she needs assistance 

90% of the time. 

2. With prompting from an adult or peer, Erin will respond with at least 

one or two words that are related to the topic 90% of the time. 

3. Erin will increase the length of her sentences to at least three words 

when provided with a picture story and asked to tell what is 

happening in each of the pictures. 

4. When reminded to use words, Erin will decrease the incidents of 

biting her hand to no more than one occurrence per week. 


1. Interviews with Erin’s teachers, paraeducator, and other school staff 

with whom she interacts to record data about Erin’s communication 

regarding her thoughts, wants and needs. 

2. Phone conversations with parents to record data about Erin’s 

communication regarding her thoughts, wants and needs. 


communication activities. 











Extended Grade-Band 

Standards) 




Extended Grade- Band 

Standards) 

Goal 3: Erin will identify 30 words and their meanings that are used in 

her everyday life. (Reading, Grade 10, Extended Grade Objective 1A) 

Objectives: 

1. When given 30 sight words connected to real objects or pictures, 

Erin will identify and match each word to an object or picture. 

2. When provided with cues from an adult, Erin will be able to locate or 

follow directions based on 30 signs that are used frequently in the 

school building, at home and in the community. 



1. Data recording of Erin’s ability to read functional words which 

occur in the school environment. 

2. Data recording of Erin’s ability to read functional words which 

occur in the community. 

3. Monthly phone conversations with parents to record data about 

Erin’s ability to read functional words at home and in the 

community. 







Goal 4: Erin will independently select and use the appropriate tools 

(ruler, tape measure and scale) to determine measurement of real 

objects. (Mathematics, Grade 10, Extended Grade Objective Da1) 

Benchmarks: 

1. Following a visual model and a verbal cue, Erin will use a variety of 

measurement tools to measure everyday objects to the nearest unit by 

the end of 2 nd quarter. 

2. Using a verbal cue, Erin will use a variety of measurement tools to 

measure everyday objects to the nearest unit by the end of 3 rd quarter. 



1. Observation and charting of Erin’s ability to select and use a variety 

of measurement tools to measure everyday objects to the nearest unit. 

2. Phone conversations with parents regarding Erin’s selection and use 

of a variety of measure tools to measure everyday objects. 

3. Targeted data recording in the classroom while Erin uses a variety of 

measurement tools to measure everyday objects to the nearest unit. 








Goal 5: Erin will increase her ability to complete functional 

independent living tasks from 30% to 90% of the time. 

Objectives: 

1. Given directions by an adult, Erin will complete tasks such as 

cleaning the tables in the cafeteria, vacuuming the room, arranging 

supplies on the shelf, sorting different types of paper products into 

categories, cleaning her room at home, doing the dishes within the 

given amount of time and meeting the stated quality expectations as 

identified by the adult. 

2. Following a model and instruction, Erin will independently wash, 

dry, fold and hang up clothes at the laundromat. 

3. Following a model and instruction, Erin will be able to maintain, 

organize and keep a clean work area 90% of the time she is working 

on a project. 

4. Given adult prompts, Erin will be able to think about and verbalize 

at least one alternative when a known routine is changed. 

Procedures for measuring the student’s progress toward meeting the 

annual goal: 

1. Anecdotal information from Erin’s teachers, paraeducator, and other 

school staff with whom she interacts about her completion of 

functional independent living tasks. 

2. Phone conversations with parents about Erin’s completion of 

functional independent living tasks. 


activities. 







Goal 6: Erin will explore work through a supported work experience in 

three of the five nursing homes in the community. 

Objectives: 

1. With adult assistance, Erin will choose three nursing homes where 

she would like to work. Choices will be made considering the work 

tasks available and Erin’s interests. 



2. With weekly supervision and coaching, Erin will work for eight 

weeks at each of three nursing home sites she has chosen. 

3. With adult assistance, Erin will talk about each work experience and 

how it met her interests. 



1. Observations of Erin’s work at each job site. 

2. Interviews with each of Erin’s employers. 

3. Review of monthly checklist completed by each employer. 

4. Interviews with Erin. 

When will reports about the student’s progress toward meeting the 

annual goal be provided to parents? 






Wisconsin Knowledge and Concepts Examination-Criteria Reference Test (WKCE-CRT) is given. 

Check only one of the two boxes below: 

� The student will be taking the WKCE for all content areas required at this grade level. 

For students taking the WKCE, complete the assessment and accommodations grid below. Document the 

accommodations, if any, needed for each of the content areas for students taking the WKCE. 

OR 

The student will be taking the WAA-SwD for all content areas required at this grade level. 

If yes, the Wisconsin Alternate Assessment (WAA) Participation Checklist is included with the IEP. For 

students taking the WAA-SwD document the accommodations, if any, needed for the alternate assessment. 

Student 

will 

participate 

in the: 

WKCE 

without 

accommod 

ations 

WKCE 

with accommodations (list 

accommodations for each 

content area) 

Reading Accommodations: 

Math Accommodations: 

Science Accommodations: 

Language 

Arts 

Social 

Studies 



WAA-SwD 

(list accommodations for each 

content area) 


• None needed 






* The attached WAA participation checklist describes why the student cannot participate in the 

regular assessment and why the alternate assessment is appropriate. 

Participation In District-Wide Assessments 

� District-wide assessments given District-wide assessments not given 


WAA-SwD Participation Checklist 

Participation Criteria 

1. The student’s curriculum and daily instruction focuses on knowledge and 

skills specified in the Extended Grade Band Standards. 

2. The student’s present level of academic and functional performance 

significantly impedes participation and completion of the general education 

curriculum even with significant program modifications. 

3. The student requires extensive direct instruction to accomplish the acquisition, 

application, and transfer of knowledge and skills. 

4. The student’s difficulty with the regular curriculum demands is primarily due 

to his/her disability, and not to excessive absences unrelated to the disability, 

or social, cultural, or environmental factors. 

YES NO 

Transition 

List the date and method of inviting the student to IEP team meeting (if the student’s name was not included 

on the invitation to the IEP meeting) 

January 22, 2009 by written invitation 

List the steps that were taken to ensure that the student’s preferences and interests are considered (if the 

student is not at the IEP team meeting) 

Erin attended the IEP team meeting. 

State measurable postsecondary goal(s) based upon age appropriate transition assessments related to 

education, training, employment and where appropriate independent living skills. (Note: for each 

measurable postsecondary goal(s) there must be at least one measurable annual goal included in the IEP that will 

help the student make progress towards meeting the stated postsecondary goal(s)). 

Education, Training, and Employment: 

After graduation, Erin will receive training to work in a nursing home in a supportive 

work environment. 

Where appropriate, Independent Living Skills: 

After graduation, Erin will live in a community based living arrangement. 

Draft September 2010 45 

X 

X 

X 

X

Are the measurable postsecondary goal(s) based on age appropriate transition assessments and are 

those assessments documented? Yes □ No 

Transition Services means a coordinated set of activities designed within a results-oriented process 

focused on improving the academic and functional achievement of the child with a disability to facilitate 

the child’s movement from school to post-school activities, including post-secondary education, 

vocational education, integrated employment (including supported employment), continuing and adult 

education, adult services, independent living, or community participation and is based on the student’s 

needs, taking into account the student’s strengths, preferences and interests. 

Describe the transition services needed to assist the student in reaching the above goals, (Transition services 

include but are not limited to instruction, related services, community experience, integrated employment including 

supported employment, development of employment and other post-school adult living objectives, functional 

vocational evaluations and if appropriate, the acquisition of daily living skills.) (If the transition services are 

contained elsewhere in this IEP, you may provide a cross reference.) 

See IEP goal 5, Erin will increase her ability to complete functional independent living tasks 

from 30% to 90% of the time. 

See IEP goal 6, Erin will explore work through a supported work experience in three of the 

five nursing homes in the community. 

Will other agencies likely be involved in providing or paying for any transition services? 

Yes □ No If yes, describe the services: 

DVR will assess Erin for work skills and will schedule an interview with Erin to determine her 

eligibility for DVR services next school year. 

ADRC will assess qualifications for Family Care/IRIS in determining living arrangements 

and supportive employment assistance to working in the community next school year. 

If yes, were representative of the other agencies, with parent consent, invited to the IEP meeting? 

Yes □ No (if no, why not?) 

Describe the course(s) of study that focus on academic and functional achievement needed to assist 

the student in reaching the above goals. 

Erin will be enrolled in Reading, Math, Health, Adaptive P.E., Independent Living Skills, 

Foods 1 Social Skills, and Supported Work Experience. 

Transfer of Rights 

Will the student reach his/her 17 th birthday during the timeframe of the IEP or has the student reached 

the age of 18? 

Yes □ No (If yes, specify how the student and parents have been informed of the rights which will transfer 

or have transferred to the student at age 18 if no legal guardian has been appointed) 

This was discussed at the IEP team meeting. Parents will begin process to obtain 

guardianship for Erin so that it can be in place at her 18th birthday. 



Physical education: □ Regular Specially designed 

Vocational education: □ Regular Specially designed 






I. Special education Frequency/ 

Amount 

Academic skills instruction 90 minutes per 

day, 5 times a 

Independent Living, Communication and Social 

Skills 

week 

120 minutes 

per day, 2 

times a week 

50 minutes, 2 


30-45 minute,s 

5 days per week 

90 minutes, 2 


Specially Designed Physical Education 50 minutes, 2 


Work Experience – Three Nursing Homes, eight 3 hours, 3 

weeks at each site 


(8 weeks per 

Nursing home) 

Location Duration 


education 


education 

classroom 

FACE 

Classroom 

Other school 

settings 

(cafeteria, 

hallway, 

library) 

Same as 

IEP 

Same as 

IEP 

Second 

semester 

Same as 

IEP 

community Same as 

settings IEP 

Gym First 

semester 

Community Same as 

settings IEP 

II. Related services needed to benefit from special education including frequency, location, and duration 

(if different from IEP beginning and ending dates). 

□ None needed to benefit from special education 

Speech / Language 

Instruction in language use and understanding 

Freq/Amnt Location Duration 


week 

Transportation Daily between 

home and school 

General ed. 

school and com- 

munity settings 

Home and 

school 

Same as 

IEP 

Same as 

IEP 



services, and other supports provided to or on behalf 

of the student in regular education or other 



Modified assignments/tasks All assignments/ 

tasks given 

verbally with 

accompanying 

visual cues 

Modified directions All verbal 

directions 

limited to no 

more than 

three steps 

Assistance to transition between classrooms 

/activities 

IV. Program modifications or supports for school 

personnel that will be provided. 


Consultation between special education teacher 

and lunchroom staff and FACE teacher 



All transitions 

that are not 

part of her 

daily routine 


month 

Special and 

general ed. 

classrooms; 

other school 

and community 

settings 


general ed. 

classrooms; 

other school 

and community 

settings 


general ed. 

classrooms; 

other school 

and community 

settings 

General 

education 

setting 

The student will participate full-time with non-disabled peers in regular education classes, or for 

preschoolers, in age appropriate settings. 

The student will not participate full-time with non-disabled peers in regular education classes, or for 

preschoolers, in age appropriate settings. (If you have indicated a location other than the regular 

education classes or age-appropriate settings in the case of a preschooler in I, II, or III above, you must check 

this box and explain why full-time participation with non-disabled peers is not appropriate.) 

Removal from the general education setting is needed because supplementary aids and 

services alone cannot adequately address Erin’s needs. This removal will result in Erin 

having fewer opportunities to interact with her peers and learn age appropriate curriculum. 

However, not providing special education and related services in a separate setting will result 

in Erin’s failure to learn functional independent living skills, and necessary communication 

and social skills 



Will the student be able to participate in extracurricular and nonacademic activities with nondisabled 

students? Yes □ No (If yes, include under I., II., III., and IV. any special education, related services, 

supplementary aids and services, and program modifications or supports necessary to assist the student. If no, 

describe the extent to which the student will not be involved in extracurricular and nonacademic activities with 

nondisabled students) 

Erin will be able to participate in extracurricular and non academic activities with the 

support of an adult for activities in which written directions are given and multiple transitions 

take place. 


Jamal’s IEP 


Jamal is a 12-year old sixth grade student. His reading decoding and math computation skills are 

strong, above grade level. Jamal participates in the general education curriculum for all subject 

areas. His parents have expressed concerns that Jamal reads quickly and does not understand what 

he reads. They are also are concerned about his social interactions and his ability to make friends. 

Jamal has a difficult time with time management and keeping material organized without 

external supports. To help him stay organized, Jamal uses an assignment notebook, graphic 

organizers, and keeps all materials in his individual classrooms. Jamal needs daily support to 

make sure these materials are kept up-to-date. 

Jamal’s general and special education teachers work with the peers who sit next to him so they 

can provide him with “natural supports” for academic, social, organizational skills, and for 

following along with classroom activities. This helps him remain on task, keep organized, and 

keep focused on classroom discussion. Currently, Jamal can follow one and two step directions 

without “natural supports”, but needs cues and supports to follow three and four step directions. 

Peers have a greater influence on Jamal than adults and Jamal has expressed a strong preference 

for peer over adult support. Jamal has two good friends. He is well liked by his peers. The 

efforts made to develop natural supports in the classroom have given students the ability to get to 

know and understand him. 

Jamal’s autism makes it difficult for him to read body language and social cues, and to 

distinguish facial features. Jamal is involved in a social skills curriculum. In structured practice 

situations, he is currently able to identify the correct social cue or feeling 50% of the time. In less 

structured and real life situations, Jamal has more difficulty correctly identifying the appropriate 

cue or feeling, succeeding in 1 out of 4 attempts (25%). 

Jamal is learning to regulate himself through the use of a “sensory diet”. He uses “sensory toys” 

throughout the day in every class (i.e. balls, Velcro strips, play dough). Jamal has learned when 

he needs a break, he can ask to “go to the restroom” and this request will be granted. He uses 

this strategy appropriately and without cues. 

Jamal can decode high school level text. While he has strong reading decoding skills, he has 

difficulty with reading comprehension. On his own, he reads very quickly with little intonation. 

He loses the meaning of words and has difficulty answering questions about what he has just 

read. On average, given a five paragraph passage, he can correctly answer 1 or 2 of 10 

comprehension questions. When asked to read aloud and prompted to attend to punctuation, his 

comprehension increases slightly to 30-40%. 


Annotated Text for Jamal’s Present Level of Academic Achievement and Functional Performance 

The following annotated copy of Jamal’s Present Level of Academic Achievement and Functional 

Performance (PLAAFP) is for training purposes ONLY. It contains the following information: strengths, 

needs resulting from Jamal’s disability that affect involvement and progress in the general education 

curriculum; needs resulting from his disability that affect behavior, motor, communication, socialemotional 

or self-help skills; and parent concerns. It also includes Jamal’s current level of academic 

achievement and functional performance that serve as a baseline for each of his measurable annual goals. 




Jamal is a 12-year old sixth grade student. His reading 

decoding and math computation skills are strong, above 

grade level. Jamal participates in the general education 

curriculum for all subject areas. 

His parents have expressed concerns that Jamal reads 

quickly and does not understand what he reads. They are also 

are concerned about his social interactions and his ability to 

make friends. 

Jamal has a difficult time with time management and keeping 

material organized without external supports. To help him 

stay organized, Jamal uses an assignment notebook, graphic 

organizers, and keeps all materials in his individual 

classrooms. Jamal needs daily support to make sure these 

materials are kept up-to-date. 

Jamal’s general and special education teachers work with 

the peers who sit next to him so they can provide him with 

“natural supports” for academic, social, organizational 

skills, and for following along with classroom activities. This 

helps him remain on task, keep organized, and keep focused 

on classroom discussion. 

Baseline for Goal 1 Currently, Jamal can follow one and two step directions 

without “natural supports”, but needs cues and supports to 

follow three and four step directions. 





involvement in general 

curriculum. 

Peers have a greater influence on Jamal than adults and 

Jamal has expressed a strong preference for peer over adult 

support. Jamal has two good friends. He is well liked by his 

peers. The efforts made to develop natural supports in the 

classroom have given students the ability to get to know and 

understand him. 

Jamal’s autism makes it difficult for him to read body 

language and social cues, and to distinguish facial features. 

Baseline for Goal 2 Jamal is involved in a social skills curriculum. In structured 

practice situations, he is currently able to identify the correct 

Strength 

Academic 

achievement 


Need 

Functional 


Functional 


Strength 

Need 

Functional 










social cue or feeling 50% of the time. In less structured and 

real life situations, Jamal has more difficulty correctly 

identifying the appropriate cue or feeling, succeeding in 1 out 

of 4 attempts (25%). 

Jamal is learning to regulate himself through the use of a 

“sensory diet”. He uses “sensory toys” throughout the day 

in every class (i.e. balls, Velcro strips, play dough). Jamal 

has learned when he needs a break, he can ask to “go to the 

restroom” and this request will be granted. He uses this 

strategy appropriately and without cues. 

Strength 

Jamal can decode high school level text. Strength 

Academic 

achievement 

While he has strong reading decoding skills, he has difficulty 

with reading comprehension. On his own, he reads very 

quickly with little intonation. He loses the meaning of words 

and has difficulty answering questions about what he has just 

read. 

On average, given a five paragraph passage, he can correctly 

answer 1 or 2 of 10 comprehension questions. When asked to 

read aloud and prompted to attend to punctuation, his 

comprehension increases slightly to 30-40% 

Need 

Academic 

achievement 

General Education Curriculum 

Will the student be involved full-time in the general education curriculum or, for preschoolers, in age 

appropriate activities? Yes No (If no, describe the extent to which the student will not be involved fulltime 

in the general curriculum or, for preschoolers, in age –appropriate activities) 

Jamal participates fully in the general education curriculum. 

The student will participate in an alternate or replacement curriculum that is aligned with alternate 

achievement standards in: (check all that apply) 

__ Reading __ Math ___ Language Arts ____ Science __ Social Studies ___Other(specify): NA 

Special Factors After consideration for special factors (behavior, limited English proficiency, Braille 

needs, communication needs including deaf/hard of hearing, and assistive technology), is there a need in 

any of the areas? 




Jamal is learning to regulate his behavior through the use of a “sensory diet”. He effectively 

uses “sensory toys” throughout the day in every class. He has learned that when he needs a 

break he may ask to “go to the rest room”. This request should be granted. 



Goal 1: Jamal will follow three and four step directions without support 

and five step directions with support in 3 out of 4 opportunities given. 

Procedures for measuring the student’s progress toward the annual 

goal: 

Weekly charting of the number of steps Jamal can follow in 

performing classroom activities. 

Procedures for notifying parents of the child’s progress toward the 

annual goal: 

1. Monthly phone conference with parents. 


Goal 2: Jamal will identify the correct social cue or feeling in a social 

interaction of an individual in 3 out of 5 attempts when practicing with a 

peer and/or educator. 


goal: 

1. Observation log of Jamal’s interactions with peers and adults. 

2. Weekly recording of Jamal’s accuracy of identifying peer and 

teachers social cues and feeling during practice sessions. 


annual goal: 



Goal 3: Given a five paragraph passage, Jamal will correctly identify 

75% of the punctuation marks and correctly answer 3 out of 5 

comprehension questions when reading aloud. 


goal: 

1. Written record of Jamal’s use of identifying punctuation marks 

during weekly oral readings. 

2. Weekly record of comprehension questions answered correctly during 

weekly oral readings. 


annual goal: 






Wisconsin Knowledge and Concepts Examination-Criteria Reference Test (WKCE-CRT) is given. 

Check only one of the two boxes below. 

The student will be taking the WKCE for all content areas required at this grade level. 

For students taking the WKCE, complete the assessment and accommodations grid below. Document 

the accommodations, if any, needed for each of the content areas for students taking the WKCE. 

OR 

□ The student will be taking the WAA-SwD for all content areas required at this grade level. 

If yes, the Wisconsin Alternate Assessment (WAA) Participation Checklist is included with the IEP. 

For students taking the WAA-SwD document the accommodations, if any, needed for the alternate 

assessment. 

Student will 

participate 

in the: 

Reading 

Math 

Science 

Language 

Arts 

Social 

Studies 

WKCE 

without 

accommodations 

in 

the content 

areas of: 

WKCE 

with accommodations (list 

accommodations for each 

content area) 


• Read directions aloud and 

reread as needed. Have Jamal 

reread and/or restate directions 

in his own words. 

• Jamal will take the test with a 

small group. 

• Jamal will need extra time for 

any timed test. 


• Read directions, questions and 

content aloud and reread as 

needed. Have Jamal reread 

and/or restate directions in his 

own words. 

• Jamal will take the test with a 

small group. 

• Jamal will need extra time for 

any timed test. 


• None Needed 





WAA-SwD 

(list accommodations for each 

content area) 




* The attached WAA participation checklist describes why the student cannot participate in the regular 

assessment and why the alternate assessment is appropriate. 


Participation In District-Wide Assessments 

� District-wide assessments given District-wide assessments not given 


List district-wide assessment(s) student will take: NA 

Describe appropriate testing accommodations, if any: NA 

Alternate Assessment – If the student does not take the regular district-wide assessment, 

describe why the student cannot participate in the regular assessment and an alternate districtwide 

assessment is appropriate. NA 



Vocational education: Regular □ Specially designed 






I. Special Education 

Frequency/ 

Amount Location Duration 

Social Skills Instruction 30 minutes 2x per Special education 

week 

classroom 

Small group instruction in reading, 

grammar, and comprehension skills. 

Small and large group instruction in 

language usage. 

30 minutes 3x per 

week 

Other school 

settings (hallways, 

playground, 

lunchroom 

20 minutes daily General education 

classroom 

30 minutes daily Special Education 

Classroom 

30 minutes per week 

General Education 

Classroom 

II. Related services needed to benefit from special education including frequency, location, 

and duration (if different from IEP beginning and ending dates). 

□ None needed to benefit from special education 

Occupational Therapy-Work on sensory diet 

with Jamal to find successful strategies. 

Frequency/ 


30 minutes per General Education 

week 

Classroom 


III. Supplementary aids and services: 

aids, services, and other supports provided to or 

on behalf of the student in regular education or 

other educational settings. 


Oral administration of tests. 

Additional time to edit and complete writing 

assignments. 

Classroom materials on tape, audio CD or 

electronic text reader. 

IV. Program modifications or supports 

for school personnel that will be provided. 


Consultation between classroom teacher 

and special education teacher 

Consultation between OT, classroom 

teacher and special education teacher 

Frequency/ 


Tests having more General education 

than 5 questions or 

10 words per 

question. 

classroom 

Assignments General education 


than 5 sentences. 

classroom 

Literature and General education 

subject content not 

read in class 

classroom 

15 minutes weekly General or special 

education 

classroom 

15 minutes monthly General education 

classroom 


The student will participate full-time with non-disabled peers in regular education classes, 

or for preschoolers, in age appropriate settings. 

The student will not participate full-time with non-disabled peers in regular education 

classes, or for preschoolers, in age appropriate settings. (If you have indicated a location other 

than the regular education classes or age-appropriate settings in the case of a preschooler in I, II, or III above, 

you must check this box and explain why full-time participation with non-disabled peers is not appropriate.) 

Removal from the general education classroom is needed because supplementary aids and 

services provided in the general education environment alone cannot adequately address 

Jamal’s needs. If some social skills and small group academic instruction were not provided 

in a separate setting, Jamal would not be able to develop the skills necessary for his success 

in all other settings. 



nondisabled students? Yes □ No 

(If yes, include under I., II., III., and IV. any special education, related services, supplementary aids and services, 

and program modifications or supports necessary to assist the student. If no, describe the extent to which the 

student will not be involved in extracurricular and nonacademic activities with nondisabled students) 


Appendix B: Tools for Developing and 

Tracking an IEP 

IEP Review Checklist 


Report of Student Progress Toward Annual Goals 


IEP Review Checklist 


Did you describe what the student is doing now? 

strengths 

needs related to the student’s disability 

parent concerns 

current levels of achievement and functional performance? 

Did you describe how the student’s disability affects the student’s involvement and progress 

in the general education curriculum, or for preschoolers, how the student’s disability affects 

involvement in age appropriate activities? 

Did you describe to what extent if any the student would not be involved in the general 

education curriculum or, for preschoolers, age-appropriate activities? 

Does the PLAAFP establish a baseline of information about the student that can be used as 

the starting point from which to determine progress toward annual goals? 

Describes both academic and non-academic areas such as classroom, community, bus, 

lunchroom. 

Includes current formal and informal educational performance data. 

Describes performance areas meaningful in the student’s life and daily environment. 

Uses understandable language. 

Describes learning accommodations, learning strategies. 

Does the PLAAFP addresses program modifications, accommodations, learning strategies, 

etc. that help the student participate in general education curriculum and environments. 

Special Factors 

Has the IEP team considered special factors without regard to disability category? 

behavior 

limited English proficiency 

communication needs 

assistive technology 

Have Braille needs been considered for students with visual impairments? 

Have special communication needs of students with hearing impairments been considered? 


Annual Goals--Short Term Objectives or Benchmarks--Measurement and Reporting 

Annual Goal 

Did you describe what the student can accomplish in 12 months? 

related to meeting the needs resulting from the disability 

related to meeting needs that enable involvement in the general curriculum (based on 

Wisconsin Academic Standards) 

related to academic achievement, non-academic activities and functional performance 

Is each annual goal: 

measurable? – means observable (you can see it, hear it, count it). 

attainable (can be achieved within the term of the IEP) 

stated in the following terms: The student…will do what…to what level/degree. 

Is each goal directly related to meeting a disability related need identified in the present level 

of performance? 

Short Term Objectives or Benchmarks 

For students with disabilities who take the WAA-SwD, the IEP team must develop short 

term objectives or benchmarks for each annual goal. Objectives or benchmarks may be 

developed for students with disabilities who take the WKCE. 

Did you describe what the student will need to do to achieve each annual goal? 

If the level of attainment is not included in the goal statement, is each short term objective or 

benchmark stated in measurable terms 

Are the short term objectives or benchmarks: 

sequential intermediate steps or temporal milestones to the goal 

indicators of progress a student is expected to make that can be measured 

intermittently during the year? 

Are there at least two short-term objectives or benchmarks for each goal? 

Measurement and Reporting Procedures 

Do the procedures measure progress toward the annual goal? 

Is progress on annual goals reported in addition to regular reporting on the student’s progress 

in general education subjects or curricular areas? 

Does the report address sufficient progress toward the annual goal? 

Does the IEP describe when parents will be informed of the student’s progress? 


Participation in State and District Assessments 

Has the IEP team considered whether the student will participate in the WKCE (regular 

statewide assessment) during the term of the IEP (3 rd , 4 th , 5 th , 6 th , 7 th , 8 th , and 10 th grade)? 

If the IEP team has determined the student will participate in the WAA-SwD (alternate statewide 

assessment), have they documented the decision using the WAA-SwD Participation Checklist? 

Has the IEP team considered whether the student will participate in any standardized district 

assessments with or without testing accommodations, or considered if the student needs an 

alternate assessment? 

For students needing accommodations to participate in regular or alternate state and district 

assessments, have these accommodations been listed in the IEP? 

For students needing testing accommodations, are the accommodations ones the student is 

familiar with and uses during every day instruction? 

Transition 

Has the student and his or her parent(s) been invited to the IEP meeting to discuss transition? 

If the student did not attend, were the student’s needs, preferences, and interests considered? 

If the student will be age 14 during the term of the IEP (or younger if appropriate), does the 

IEP specify appropriate, measurable postsecondary goals based on age appropriate transition 

assessments related to: 

training 

education 

employment 

independent living skills, where appropriate 

Does the IEP describe the student’s course of study related to the student’s postsecondary 

goals? 

If appropriate, was a representative of an outside agency invited to the IEP team meeting with 

the prior consent of the parent or adult student? 

If the student is 18 or will be turning 18 within a year, was the student informed his or her 

parental rights and were the student’s parent (s) informed of the transfer of parental rights? 

If the student is expected to graduate during the IEP term, discuss the IEP team discuss the 

student’s graduation status and develop a performance summary 


IEP Program Summary: Statement of Services, Participation in Regular Education 

Classes (environment), and Extra Curricular and non-Academic Activities 

Has the IEP team considered what is needed to enable the student to be meaningfully 

educated with non-disabled peers and progress in the general education curriculum to the 

maximum extent possible? 

Has the IEP team considered peer reviewed research when determining services? 

Has the IEP team described needed student-specific services? 

special education (specially designed instruction) 

related services 

supplementary aids and services 

program modifications and supports for school personnel? 

Has the IEP team clearly described the following for each service? 

__ frequency and amount (time per scheduled session, or when not possible to state in 

time allotment, circumstances/conditions) 

location (general or special education classroom, lunchroom, etc.) 

duration (generally beginning and ending dates of IEP, unless otherwise specified 

Is each statement of amount and frequency appropriate for the type of service? 

Is each statement of service clear and unambiguous? 

Has the IEP team considered whether the student will participate with non-disabled peers in 

extracurricular and non-academic activities? 

If the student will not participate in the general education environment (age appropriate and 

natural settings for preschool children) full time, did the IEP team describe why full-time 

participation with non-disabled peers is not appropriate and the extent, if any to which the 

student will not participate with students without disabilties? 


Sample Report of Student Progress Toward Annual Goals 

STUDENT NAME: ______________________ 

Annual Goals 

1. The student 

will….. 

2. 

3. 

4. 

5. 

Date: 

Summary of 

Progress Data 

Date: 

Summary of 

Progress Data 

Date: 

Summary of 

Progress Data 

Example code for reporting on progress toward the annual goal: 

AP = adequate progress 

SP = slow progress/emerging 

NP = no progress (consider if an IEP team meeting is needed to review goals) 

GA = goal attained 

Date: 

Summary of 

Progress Data 



The IEP must enable the student to be involved in and progress in the general curriculum AND 

meet any other educational needs that result from the student’s disability. 

The general curriculum is based on the Wisconsin Model Academic Standards and district 

benchmarks which are learning targets for all students, including those with disabilities. The 

standards provide the lens through which to view classroom instruction, including specially 

designed instruction documented in an IEP. Thus, all academic instruction that takes place is 

based on standards and district benchmarks. 

Other disability related needs may include access skills, social emotional skills, behavior, 

communication, self-help and motor skills. In developing the present level of academic 

achievement and functional performance, goals and IEP services, BOTH the academic needs, 

defined by standards and district benchmarks, and the student’s other disability related needs 

must be addressed to ensure involvement and progress in the general curriculum, no matter 

where instruction takes place. 

For more information on Standards & the IEP refer to A Guide Connecting Academic Standards 

and IEPs, found at http://dpi.wi.gov/sped/pdf/iepstandardsguide.pdf 


Appendix C: Resources 


Resources 

WEBSITES: 

Special Education Team Website Index: http://dpi.wi.gov/sped/tm-specedtopics.html 

Special Education IEP resource page: http://dpi.wi.gov/sped/sbiep.html 

Special Education Information Update Bulletins: http://dpi.wi.gov/sped/bulindex.html 

DPI Sample Special Education Forms and Notices: http://dpi.wi.gov/sped/form_int.html 

Sample Forms - http://dpi.wi.gov/sped/forms06.html 

Forms Guide - http://dpi.wi.gov/sped/doc/forms-guide.doc 

DPI Procedural Compliance resource page: http://dpi.wi.gov/sped/spp-selfassmt.html 

IEPs and Behavior 

IEP goals and objectives to address behavior - http://dpi.wi.gov/sped/doc/fbaiepintr.doc, 

http://dpi.wi.gov/sped/doc/iepbehavor.doc 

BIPs to IEPs - http://dpi.wi.gov/sped/doc/fbabipintr.doc, http://dpi.wi.gov/sped/ppt/bips_iep.ppt 

WDPI Directives for the Appropriate Use of Seclusion and Physical Restraint in Special 

Education Programs - http://dpi.wi.gov/sped/doc/secrestrgd.doc 

IEPs and Family Involvement 

DPI Parent Resource Page - http://dpi.wi.gov/sped/hmparents.html 

Introduction to Special Education - http://dpi.wi.gov/sped/pdf/intro-se.pdf 

Special Education in Plain Language - http://www.specialed.us/pl-07/pl07-index.html 

Wisconsin Statewide Parent-Educator Initiative - http://dpi.wi.gov/sped/parent.html 

Preparing For The IEP - http://dpi.wi.gov/sped/hmparents.html 

Training Opportunities for Parents or Educators - http://dpi.wi.gov/sped/par_traing.html 

Parent Record File in English or Spanish - http://dpi.wi.gov/sped/hmparents.html 

Wisconsin FACETS Downloadable Resources - http://wifacets.org/downres09.html 

Wisconsin Special Education Mediation System (WSEMS)- http://www.wsems.us/ 

Mediation- http://www.wsems.us/mediation.htm 

Facilitated IEPs- http://www.wsems.us/training/iepfaciliation.htm 

WSEMS Resources- http://www.wsems.us/resources.htm 

Building the Legacy/Construyendo el Legado: A Training Curriculum on IDEA 2004 

National Dissemination Center for Children with Disabilities (NICHCY) - 

http://www.nichcy.org/Laws/IDEA/Pages/BuildingTheLegacy.aspx 

Developing Your Child’s IEP (National Dissemination Center for Children with Disabilities 

(NICHCY) http://www.nichcy.org/informationresources/documents/nichcy%20pubs/pa12.pdf 

Guidelines for Conflict Management (Portland Oregon School District) - 

http://www.directionservice.org/cadre/guidelines5962.cfm 

Creating Agreement - http://dpi.wi.gov/sped/agreement.html 


The Resolution Meeting: A Guide for Parents and Educatorshttp://www.wsems.us/resmeeeting/index.html 

IEPs and Transition 

DPI Transition Page - http://dpi.wi.gov/sped/transition.html 

Wisconsin Statewide Transition Initiative - http://www.wsti.org/ 

Transition Professional Development Modules - http://www.wsti.org/prof_dev_modules.php 

Transition Action Guide - http://dwd.wisconsin.gov/dvr/pdf_files/tag.pdf 

Opening Doors Guides: 

http://dpi.wi.gov/sped/pdf/tranopndrs.pdf 

http://dpi.wi.gov/sped/pdf/tranopndrs-employmt.pdf 

http://dpi.wi.gov/sped/pdf/tranopndrs-self-determination.pdf 

IEPs, Standards and Assessment 

Students with Disabilities and Standardized Assessment page -http://dpi.wi.gov/sped/assessmt.html 

Connecting Academic Standards and IEPs - http://dpi.wi.gov/sped/pdf/iepstandardsguide.pdf 

Wisconsin Model Academic Standards - http://dpi.wi.gov/oea/wkce.html 

Wisconsin Model Early Learning Standards - http://dpi.wi.gov/ec/index.html 

Wisconsin Assessment Frameworks - http://dpi.wi.gov/oea/wkce-crt.html 

Assessment Accommodations Matrix - http://dpi.wi.gov/oea/pdf/accom09.pdf 

Wisconsin Alternate Assessment (WAA-SwD) Resource Page-http://dpi.wi.gov/sped/assmt-waa.html 

Extended Grade Band Standards - http://dpi.wi.gov/sped/assmt-extstd.html 

WAA-SwD Participation Checklist - http://dpi.wi.gov/sped/doc/form-i7a.doc 

Least Restrictive Environment: 

Environment Codes - http://dpi.wi.gov/sped/spp20-envir.html 

Preschool Options - http://www.preschooloptions.org/ 

Other 

Wisconsin Adaptive Skills Resource Guide - http://dpi.wi.gov/sped/adaptskills.html 

Information Update Bulletin # 10.07: Describing Special Education, Related Service, 

Supplementary Aids and Services, and Program Modifications or Supports 

http://www.dpi.wi.gov/sped/bul10-07.html 

TEXT RESOURCES: 

Bateman, B. D. and Linden, M. (2006). Better IEPs: How to develop legally correct and 

educationally useful programs. Verona, WI: Attainment Company, Inc.

Guide for Writing IEPs - The Special Education Team - Wisconsin.gov

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?